micromed petition

7/28/2019 MicroMed Petition

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}bk1{Form1.VoluntaryPetition}bk{

B1 (Official Form 1)(04/13)

United States Bankruptcy CourtVoluntary Petition

Name of Debtor (if individual, enter Last, First, Middle):

All Other Names used by the Debtor in the last 8 years(include married, maiden, and trade names):

Last four digits of Soc. Sec. or Individual-Taxpayer I.D. (ITIN)/Complete EIN(if more than one, state all)

Street Address of Debtor (No. and Street, City, and State):

County of Residence or of the Principal Place of Business:

Mailing Address of Debtor (if different from street address):

Location of Principal Assets of Business Debtor(if different from street address above):

Name of Joint Debtor (Spouse) (Last, First, Middle):

All Other Names used by the Joint Debtor in the last 8 years(include married, maiden, and trade names):

Last four digits of Soc. Sec. or Individual-Taxpayer I.D. (ITIN) No./Complete EIN(if more than one, state all)

Street Address of Joint Debtor (No. and Street, City, and State):

County of Residence or of the Principal Place of Business:

Mailing Address of Joint Debtor (if different from street address):

ZIP Code ZIP Code

ZIP Code ZIP Code

Type of Debtor

(Form of Organization) (Check one box)

Individual (includes Joint Debtors)See Exhibit D on page 2 of this form.

Corporation (includes LLC and LLP)

Partnership

Other(If debtor is not one of the above entities,check this box and state type of entity below.)

Chapter 15 Debtors

Country of debtor's center of main interests:

Each country in which a foreign proceedingby, regarding, or against deb tor is pending:

Filing Fee (Check one box)

Full Filing Fee attached

Filing Fee to be paid in installments (applicable to individuals only). Mustattach signed application for the court's consideration certifying that thedebtor is unable to pay fee except in installments. Rule 1006(b). See OfficialForm 3A.

Filing Fee waiver requested (applicable to chapter 7 individuals only). Mustattach signed application for the court's consideration. See Official Form 3B.

Nature of Business

(Check one box)

Health Care BusinessSingle Asset Real Estate as definedin 11 U.S.C. 101 (51B)RailroadStockbrokerCommodity BrokerClearing Bank

OtherTax-Exempt Entity

(Check box, if applicable)

Debtor is a tax-exempt organization

under Title 26 of the United States

Code (the Internal Revenue Code).

Chapter of Bankruptcy Code Under Which

the Petition is Filed (Check one box)

Chapter 7

Chapter 9

Chapter 11

Chapter 12

Chapter 13

Chapter 15 Petition for Recognitionof a Foreign Main Proceeding

Chapter 15 Petition for Recognitionof a Foreign Nonmain Proceeding

Nature of Debts(Check one box)

Debts are primarily consumer debts, Debts are primarily

defined in 11 U.S.C. 101(8) as business debts.

"incurred by an individual primarily for

a personal, family, or household purpose."

Chapter 11 DebtorsCheck one box:

Debtor is a small business debtor as defined in 11 U.S.C. 101(51D).

Debtor is not a small business debtor as defined in 11 U.S.C. 101(51D).

Check if:

Debtors aggregate noncontingent liquidated debts (excluding debts owed to insiders or affiliates)are less than $2,490,925 (amount subject to adjustment on 4/01/16 and every three years thereafter).

Check all applicable boxes:

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).

THIS SPACE IS FOR COURT USE ONLYStatistical/Administrative InformationDebtor estimates that funds will be available for distribution to unsecured creditors.

Debtor estimates that, after any exempt property is excluded and administrative expenses paid,there will be no funds available for distribution to unsecured creditors.

Estimated Number of Creditors

1- 50- 100- 200- 1,000- 5,001- 10,001- 25,001- 50,001- OVER 49 99 199 999 5,000 10,000 25,000 50,000 100,000 100,000

Estimated Assets

$0 to $50,001 to $100,001 to $500,001 $1,000,001 $10,000,001 $50,000,001 $100,000,001 $500,000,001 More than$50,000 $100,000 $500,000 to $1 to $10 to $50 to $100 to $500 to $1 billion $1 billion

million million million million million

Estimated Liabilities

$0 to $50,001 to $100,001 to $500,001 $1,000,001 $10,000,001 $50,000,001 $100,000,001 $500,000,001 More than$50,000 $100,000 $500,000 to $1 to $10 to $50 to $100 to $500 to $1 billion $1 billion

million million million million million

District of Delaware

MICROMED TECHNOLOGY, INC., a Delaware corporation

76-0505889

8965 Interchange Drive

Houston, TX

Harris

77054


2/16

B1 (Official Form 1)(04/13) Page

Voluntary Petition

(This page must be completed and filed in every case)

Name of Debtor(s):

All Prior Bankruptcy Cases Filed Within Last 8 Years (If more than two, attach additional sheet)

Location Case Number: Date Filed:

Where Filed:

Location Case Number: Date Filed:

Where Filed:

Pending Bankruptcy Case Filed by any Spouse, Partner, or Affiliate of this Debtor (If more than one, attach additional sheet)Name of Debtor: Case Number: Date Filed:

District: Relationship: Judge:

Exhibit A

(To be completed if debtor is required to file periodic reports (e.g.,forms 10K and 10Q) with the Securities and Exchange Commissionpursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934and is requesting relief under chapter 11.)

Exhibit A is attached and made a part of this petition.

Exhibit C

Does the debtor own or have possession of any property that poses or is alleged to pose a threat of imminent and identifiable harm to public health or safety?

Yes, and Exhibit C is attached and made a part of this petition.

No.

Exhibit D

(To be completed by every individual debtor. If a joint petition is filed, each spouse must complete and attach a separate Exhibit D.)

Exhibit D completed and signed by the debtor is attached and made a part of this petition.

If this is a joint petition:

Exhibit D also completed and signed by the joint debtor is attached and made a part of this petition.

Information Regarding the Debtor - Venue(Check any applicable box)

Debtor has been domiciled or has had a residence, principal place of business, or principal assets in this District for 180days immediately preceding the date of this petition or for a longer part of such 180 days than in any other District.

There is a bankruptcy case concerning debtor's affiliate, general partner, or partnership pending in this District.

Debtor is a debtor in a foreign proceeding and has its principal place of business or principal assets in the United States inthis District, or has no principal place of business or assets in the United States but is a defendant in an action orproceeding [in a federal or state court] in this District, or the interests of the parties will be served in regard to the reliefsought in this District.

Certification by a Debtor Who Resides as a Tenant of Residential Property(Check all applicable boxes)

Landlord has a judgment against the debtor for possession of debtor's residence. (If box checked, complete the following.)

(Name of landlord that obtained judgment)

(Address of landlord)

Debtor claims that under applicable nonbankruptcy law, there are circumstances under which the debtor would be permitted to curethe entire monetary default that gave rise to the judgment for possession, after the judgment for possession was entered, and

Debtor has included with this petition the deposit with the court of any rent that would become due during the 30-day periodafter the filing of the petition.

Debtor certifies that he/she has served the Landlord with this certification. (11 U.S.C. 362(l)).

Exhibit B(To be completed if debtor is an individual whose debts are primarily consumer debts.)

I, the attorney for the petitioner named in the foregoing petition, declare that Ihave informed the petitioner that [he or she] may proceed under chapter 7, 11,12, or 13 of title 11, United States Code, and have explained the relief availableunder each such chapter. I further certify that I delivered to the debtor the noticerequired by 11 U.S.C. 342(b).

XSignature of Attorney for Debtor(s) (Date)


- None -

- None -


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4/16

B l (Official Form 1)(04/13) Pagt 3Voluntary Petition(This page must be completed and filed in every case)

Name of Debtors):M I C R O M E D T E C H N O L O G Y , I NC ., a Delaware corporation

SignSignature(s) of Debtor(s) (Individual/Joint)

I declare under penalty of perjury that the information provided in thispetition is true and correct.(I f petitioner is an individual whose debts are primarily consumer debts andhas chosen to file under chapter 7] I am aware that 1 may proceed underchapter 7, 11,12, or 13 of ti tle 11 , United States Code, understand the rel iefavailable under each such chapter, and choose to proceed under chapter 7.[ I f no attorney represents me and no bankruptcy petition preparer signs thepetition] Ih ave obtained and read the notice required by 11 U.S.C. 342( b) .I request rel ief in accordance with the chapter of title 11 , United States Code,specified in this petition.

XSignature o f Debtor

Signature of Joint Debtor

ituresSignature of a Foreign Representative

Id eclare under penalty of perjury that the information provided in this petitionis true and correct, that lam the foreign representative of a debtor in a foreignproceeding, and that lam authorized to file this petition.(Check only one box.) Ire quest rel ief in accordance with chapter 15 of ti tle 11 . United States Code.

Certified copies of the documents required by 11 U.S.G. 1515 are attached. Pursuant to 11 U.S.C. 1S11, Ire quest rel ief in accordance with the chaptero f ti tle 1 i specified in this petition. A certified copy of the order granting

recognition of the foreign main proceeding is attached.

XSignature of Foreign Representative

Printed Name of Foreign Representative

Dateelephone Number ( I f not represented by attorney)

Date

Signature of Non-Attorney Ba nkr uptcy Petition PreparerI declare under penalty of perjury that: ( 1 ) I am a bankruptcy petitionpreparer as defined in 11 U.S.C. 110; (2) I prepared this document forcompensation and have provided the debtor with a copy of this documentand the notices and information required under 11 U.S.C. 110(b),110(h), and 342(b); and, (3) i f rules or guidelines have been promulgatedpursuant to 11 U.S.C. 110(h) setting a maximum fee for serviceschargeable by bankruptcy petition preparers, I have given the debtor noticeo f the maximum amount before preparing any document for filing for adebtor or accepting any fee from the debtor, as required in that section.Off icial Form 19 is attached.

/ Signature of Attorney*

XSignature of Attorney for Debtor(s)Robert M. Charles. Jr . 007359

Printed Name of Attorney for Debtor(s)Lewis and Roca L L P

Signature of Non-Attorney Ba nkr uptcy Petition PreparerI declare under penalty of perjury that: ( 1 ) I am a bankruptcy petitionpreparer as defined in 11 U.S.C. 110; (2) I prepared this document forcompensation and have provided the debtor with a copy of this documentand the notices and information required under 11 U.S.C. 110(b),110(h), and 342(b); and, (3) i f rules or guidelines have been promulgatedpursuant to 11 U.S.C. 110(h) setting a maximum fee for serviceschargeable by bankruptcy petition preparers, I have given the debtor noticeo f the maximum amount before preparing any document for filing for adebtor or accepting any fee from the debtor, as required in that section.Off icial Form 19 is attached.

F i r m NameOne South Church AvenueTuc s o n , AZ 85701-1611

AddressE m a i l : rc h a r i es @ L RL a w.c om

520-629-4427 Fax: 520-879-4705Telephone Number

Printed Name and t i t l e , i f any, o f Bankruptcy Petition Preparer

Social-Security number ( I f the bankrutpcy petition preparer is notan individual, state the Social Security number o f the officer,principal, responsible person or partner of the bankruptcy petitionpreparer.XRequiitd by 11 U.S.C. 110.)

Date I n a case in which 707(bX4XD) applies, this signature also constitutes acertification that the attorney has no knowledge after an inquiry that theinformation in the schedules is incorrect.

AddressX

DateSignature of bankruptcy petition preparer or officer, principal, responsibleperson,or partner whose Social Security number is provkled above.Names and Social-Security numbers of al l other individuals who prepared orassisted in preparing this document unless the bankruptcy petition preparer isnot an individual:

I f more than one person prepared this document, attach additional sheetsconforming to the appropriate official form for each person.A bankruptcypetition preparer's failure to comply with the provisions oftitle 11 and the Federal Rules ofBankruptcy Procedure may result infines or imprisonment orboth. II U.S.C. 110; 18 U.S.C. 156.

Signature of Debtor (Corporation/Partnership)

1 declare under penalty of perjury that the information provided in thispetition is true and correct, and that Ih ave been authori2cd to file this petitionon behalf of the debtor.The debtor requests rel ief in accordance with the chapter of ti tle 11 , UnitedStales Code, specified in this petition.

Signature of Authorized IndividualDennis WInans

Printed Name of Authorized IndividualDirector

T i t l e of Authorized Individual

Date

AddressX

DateSignature of bankruptcy petition preparer or officer, principal, responsibleperson,or partner whose Social Security number is provkled above.Names and Social-Security numbers of al l other individuals who prepared orassisted in preparing this document unless the bankruptcy petition preparer isnot an individual:

I f more than one person prepared this document, attach additional sheetsconforming to the appropriate official form for each person.A bankruptcypetition preparer's failure to comply with the provisions oftitle 11 and the Federal Rules ofBankruptcy Procedure may result infines or imprisonment orboth. II U.S.C. 110; 18 U.S.C. 156.


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}bk1{ListofEquitySecurityHolders}bk{

United States Bankruptcy CourtDistrict of Delaware

In re,

Debtor

Case No.

Chapter 11


Following is the list of the Debtor's equity security holders which is prepared in accordance with Rule 1007(a)(3) for filing in this chapter 11 cas

Name and last known address

or place of business of holder

Security

Class

Number

of Securities

Kind of

Interest

continuation sheets attached to List of Equity Security Holders

LIST OF EQUITY SECURITY HOLDERS

2

Ashland Gro up Millenn ium, LLC1050 River RoadSuite 300

Tucson, AZ 85718

2.67% Shareholder

Bryan Edwin Lynch201 Vanderpool, #133Houston , TX 77024

0.80% Shareholder

C Parker Mills and Laura Holder Mills31451 Greenwood RoadElk, CA 95432

2.67% Shareholder

Catalina Investo rs II, LLC1600 N. Kolb RoadSuite 118Tucson, AZ 85715

2.67% Shareholder

Charron A. Daigle1 State StreetSuite 1740Hartford , CT 06103

0.67% Shareholder

Corevest Capital, LLLP1600 Kolb RoadSuite 118Tucson, AZ 85715

6.04% Shareholder

Endoluminal Therapeutics Inc.5001 N. Summit Ridge RoadTucson, AZ 85750

0.67% Shareholder

Equity Trust Co. d.b.a. Sterling TrustCustodian FBO Phillip G. Jameson IRA1101 Wooded Ac resSuite 120Waco, TX 76710

8.00% Shareholder

Equity Trust CompanyCustodian FBO Susan Bonnie Belt IRA334 Roadrunner LanePatagonia, AZ 85624

1.33% Shareholder

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6/16

In re,

Debtor

Case No.MICROMED TECHNOLOGY, INC., a Delaware corporation



Security

Class

Number

of Securities

Kind of

Interest

Sheet of continuation sheets attached to the List of Equity Security Holders

LIST OF EQUITY SECURITY HOLDERS(Continuation Sheet)

1 2

Equity Trust CompanyCustodian FBO John E. Holder IRA334 Roadrunner LanePatagonia, AZ 85624

2.67% Sharholder

Equity Trust CompanyCustodian FBO Anthony Williams IRA2609 S. Mission Circ leFriendswood , TX 77546

2.67% Shareholder

Gerald J. Swanson and Gwen J. Swanson4020 N. RidgecrestTucson, AZ 85750

1.33% Shareholder

Joel B Alvo rd 2008 Investment Trust #175 Federal Street18th FlrBoston, MA 02110

5.33% Shareholder

John L. Hall IIc/o Hall Properties, Carpenter Company20 University RoadCambridge, MA 02138-5756

2.67% Shareholder

JPMCC

FBO Stephen Paluszek IRA Acct #xxxx9891242 E. 19th Street, Apt. PHWNew York, NY 10003

5.35% Shareholder

Kevin A North15 Pennington DriveSimsbury, CT 06070

2.67% Shareholder

Les R Tager17 Porter DriveWest Hartford, CT 06117

2.67% Shareholder

Lincoln Trust CompanyFBO Thomas K. Connellan401K #xxxxxxxxx0028702 Bay Hill Bou levardOrlando, FL 32819

1.33% Shareholder

Lincoln Trust CompanyFBO Thomas K. ConnellanIRA #xxxxxxxx43408702 Bay Hill Bou levardOrlando, FL 32819

1.33% Shareholder

Margaret Larsen Family Ltd Partnership85 N. Camino Espano lTucson, AZ 85716

0.67% Shareholder



7/16

In re,

Debtor

Case No.MICROMED TECHNOLOGY, INC., a Delaware corporation



Security

Class

Number

of Securities

Kind of

Interest

Sheet of continuation sheets attached to the List of Equity Security Holders

LIST OF EQUITY SECURITY HOLDERS(Continuation Sheet)

2 2

Mark Goldberg and Antonia Esquibel13355 E. Camino CebadillaTucson, AZ 85749

6.68% Shareholder

Mary B. Bernal6720 E. Camino PrincipalTucson, AZ 85715

11.97% Shareholder

MMED LLC6720 E. Camino PrincipalTucson, AZ 85715

13.33% Shareholder

Phillip A Vasta9 Luz Del DiaSanta Fe, NM 87506

1.33% Shareholder

Ralf Walter Hennig239 Round Hill RoadGreenwich, CT 06831

0.67% Shareholder

Stephanie E Birdsall Self Directed IRA3131 N. Deer TrailTucson, AZ 85749

0.53% Shareholder

Stephen Paluszek

242 E. 19th Street, Apt. PHWNew York, NY 10003

5.33% Shareholder

William Birdsall3131 N. Deer TrailTucson, AZ 85749

0.67% Shareholder

William M. Griffi n1 State StreetSuite 1740Hartford , CT 06103

2.67% Shareholder

Zak and Mia Timan GST Trust5501 N. Hacienda Del SolTucson, AZ 85718

2.67% Shareholder



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9/16

B4 (Official Form 4) (12/07)

United States Bankruptcy CourtDistrict of Delaware

In re MICROMED TECHNOLOGY, INC., a Delaware corporation Case No.

Debtor(s) Chapter 11

LIST OF CREDITORS HOLDING 20 LARGEST UNSECURED CLAIMS

Following is the list of the debtor's creditors holding the 20 largest unsecured claims. The list is prepared in

accordance with Fed. R. Bankr. P. 1007(d) for filing in this chapter 11 [orchapter 9] case. The list does not include (1)

persons who come within the definition of "insider" set forth in 11 U.S.C. 101, or (2) secured creditors unless the value of

the collateral is such that the unsecured deficiency places the creditor among the holders of the 20 largest unsecured claims.

If a minor child is one of the creditors holding the 20 largest unsecured claims, state the child's initials and the name and

address of the child's parent or guardian, such as "A.B., a minor child, by John Doe, guardian." Do not disclose the child's

name. See 11 U.S.C. 112; Fed. R. Bankr. P. 1007(m).

(1)

Name of creditor and complete

mailing address including zip

code

(2)

Name, telephone number and complete

mailing address, including zip code, of

employee, agent, or department of creditor

familiar with claim who may be contacted

(3)

Nature of claim (trade

debt, bank loan,

government contract,

etc.)

(4)

Indicate if claim is

contingent,

unliquidated,

disputed, or

subject to setoff

(5)

Amount of claim

[if secured, also

state value of

security]

Yarbrough ElectronicsSales, Inc.2030 N. Forbes Bl vd., Suite104Tucson, AZ 85745

Jorge PozoYarbrough Electronics Sales, Inc.2030 N. Forbes Blvd., Suite 104Tucson, AZ 85745800-280-7440

Supplier 451,075.00

Lynium LLC2015 N. Forbes Bl vd., Suite109Tucson, AZ 85745

George GleasonLynium LLC2015 N. Forbes Blvd., Suite 109Tucson, AZ 85745520-579-0047

Supplier 301,189.00

Numerex Solutions Corp.P.O. Box 116413

Atlanta, GA 30368-6413

Alan Catheri llNumerex Solutions Corp.

3330 Cumberland Blvd.Suite 700

Atl anta, GA 30339513-505-7208

Supplier 254,930.00

Locke Lord Bissel & Liddell,LLPP.O. Box 201072Houston, TX 77216-1072

Brit NelsonLocke Lord Bissel & Liddell, LLP2800 Chase Tower600 Travis StreetHouston , TX 77002-3095713-226-1361

Attorney/Auditor 200,653.00

Boardman & Clark LLPP.O. Box 927Madison, WI 53701-0927

Kirsten SpiraBoardman & Clark LLP1 S Pinckney StreetSuite 410Madison, WI 53701-0927

608-283-1721


Texas Heart Institu teTX Medical CenterP.O. Box 4180Houston, TX 77210-4180

Thomas RiversTexas Heart Institute6770 Bertner AvenueHouston, TX 77030832-355-3653

Supplier 158,076.00

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10/16

B4 (Official Form 4) (12/07) - Cont.

In re MICROMED TECHNOLOGY, INC., a Delaware corporation Case No.

Debtor(s)

LIST OF CREDITORS HOLDING 20 LARGEST UNSECURED CLAIMS(Continuation Sheet)

(1)

Name of creditor and complete

mailing address including zip

code

(2)

Name, telephone number and complete

mailing address, including zip code, of

employee, agent, or department of creditor

familiar with claim who may be contacted

(3)

Nature of claim (trade

debt, bank loan,

government contract,

etc.)

(4)

Indicate if claim is

contingent,

unliquidated,

disputed, or

subject to setoff

(5)

Amount of claim

[if secured, also

state value of

security]

BSI Group America, Inc.Dept. CH 19307Palatine, IL 60055-9307

Karri HarrisBSI Group America, Inc.Dept. CH 19307Palatine, IL 60055-9307571-420-7031

EU RegulatoryBody for CElicense

114,883.00

Insaco, Inc.1365 Canary Rd.Quakertown, PA 18951-9006

Scott MittlInsaco, Inc.1365 Canary Rd.

Quakertown, PA 18951-9006215-536-3500

Supplier 113,364.00

Transonic Systems, Inc.34 Dutch Mil l road

Alp ine, NY 14805

Doug CollinsTransonic Systems, Inc.34 Dutch Mil l road

Alpine, NY 14805800-353-3569

Supplier 100,807.00

Cooner Wire Company9265 Owensmouth AveChatsworth , CA 91311

Steve SmithCooner Wire Company9265 Owensmouth AveChatsworth , CA 91311818-882-8311 Ext 104

Supplier 94,395.00

Jerome Industries Corp.730 Division StElizabeth, NJ 07201

Ken RosevearJerome Industries Corp.730 Division St

Elizabeth, NJ 07201908-353-5700

Supplier 63,258.00

Toltec International, Inc.7717 W 6th AvenueSuite JDenver, CO 80214

Bryan LarsonToltec International, Inc.7717 W 6th AvenueSuite JDenver, CO 80214303-202-0148

Supplier 57,890.00

Harris County Tax AssessorPO Box 4622Houston, TX 77210-4622

Tracy JonesHarris County Tax AssessorPO Box 4622Houston , TX 77210-4622713-844-3582

Taxes 51,688.00

BeachFleischman PCP.O. Box 64130Tucson, AZ 85728-4130

Eric ManevalBeachFleischman PC1985 E River RoadSuite 201Tucson, AZ 85718520-618-7982


Life Science Innovation, LLC12655 E. Horsehead RoadTucson, AZ 85749

Carole MarcotLife Science Innovation, LLC12655 E. Horsehead RoadTucson, AZ 85749520-288-9058

Supplier 42,250.00

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