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HomeMy WebLinkAbout12-19-05 (2) REV.1500 EX (6-00) REV-1500 '*' COMMONWEALTH OF PENNSYLVANIA . DEPARTMENT OF REVENUE DEPT. 280601 HARRISBURG, PA 17128-0601 W I- lI:~(/) uO::lI: wl1.U zOO uO::..J I1.m 11. <I: INHERITANCE TAX RETURN RESIDENT DECEDENT J- Z W C W o W C DECEDENTS NAME (LAST, FIRST, AND MIDDLE INITIAL) JOHN R. DRUSCHEL FILE NUMBER 21 05 0777 DATE OF DEATH (MM-DD-YEAR) 08/19/2005 DATE OF BIRTH (MM-DD-YEAR) 03/09/1954 COUNTY CODE YEAR NUMBER (IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST, AND MIDDLE INITIAL) DRUSCHEL, JANICE J. [!] 1. Original Return o 4. Limited Estate o 6. Decedent Died Testate (Attach copy of Will) o 9. Litigation Proceeds Received o 2. Supplemental Return o 4a. Future Interest Compromise (date of death after 12-12-82) o 7. Decedent Maintained a Living Trust (Attach copy of Trusl) o 10. Spousal Poverty Credit (dale of death between 12-31-91 and 1-1-95) SOCIAL SECURITY NUMBER 177-46-2001 THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS o 3. Remainder Return (dale of dealh prior 1012-13-82) o 5. Federal Estate Tax Return Required 8. Total Number of Safe Deposit Boxes o 11. Election to tax under Sec. 9113(A) (Attach Sch 0) I- Z W C Z o 11. (/) W 0:: 0:: o U NAME ROBERT C. MAY FIRM NAME (ff Applicable) THE LAW FIRM OF MAY & MAY, P.C. TELEPHONE NUMBER (717) 612-0102 COMPLETE MAILING ADDRESS 4330 CARLISLE PIKE, CAMP HILL PA 17011 0.00 x.O~ (15) 0.00 0.00 x.O~ (16) 0.00 0.00 x .12 (17) 0.00 0.00 x .15 (18) 0.00 (19) 0.00 0.00 0.00 0.00 0.00 0.00 z o ~ ..J :::J ~ D- c:( o w a:: 1. Real Estate (Schedule A) 2. Stocks and Bonds (Schedule B) 3. Closely Held Corporation, Partnership or Sole-Proprietorship 4. Mortgages & Notes Receivable (Schedule D) 5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) 6. Jointly Owned Property (Schedule F) o Separate Billing Requested 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (Schedule G or L) (1) (2) (3) (4) (5) \_::J ....--"1'1 0.00 ., .i ';'1 (6) (7) 8. Total Gross Assets (total Lines 1-7) 9. Funeral Expenses & Administrative Costs (Schedule H) 10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) 11. Total Deductions (total Lines 9 & 10) 12. Net Value of Estate (Line 8 minus Line 11) 13. Charitable and Governmental Bequests/See 9113 Trusts for which an election to tax has not been made (Schedule J) (9) (10) 14. Net Value Subject to Tax (Line 12 minus Line 13) SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES z o ~ ~ :::J D- :!E o o ~ 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 9116 (a)(1.2) 16. Amount of Line 14 taxable at lineal rate 17. Amount of Line 14 taxable at sibling rate 18. Amount of Line 14 taxable at collateral rate 19. Tax Due 20.0 CHECK HERE IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT 0.00 (8) 10,077.76 0.00 0.00 (11) (12) (13) 10,077.76 -10,077.76 0.00 (14) 0.00 ') P f":. Decedent's Complete Address: STREET ADDRESS 3901 Chestnut Street CITY Camp Hill I STATEpA I ZIP 17011 Tax Payments and Credits: 1. Tax Due (Page 1 Line 19) 2. Credits/Payments A. Spousal Poverty Credit B. Prior Payments C. Discount (1) 0.00 0.00 0.00 0.00 Total Credits (A + B + C ) (2) 0.00 3. InteresUPenally if applicable D. Interest E. Penalty 0.00 0.00 A. Enter the interest on the tax due. (5A) 0.00 0.00 0.00 0.00 0.00 TotallnteresUPenally ( D + E ) (3) 4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. Check box on Page 1 Line 20 to request a refund (4) 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5) B. Enter the total of Line 5 + 5A. This is the BALANCE DUE. (5B) Make Check Payable to: REGISTER OF WILLS, AGENT PLEASE ANSWER THE FOllOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 1. Did decedent make a transfer and: Yes No a. retain the use or income of the property transferred;.......................................................................................... 0 [i] b. retain the right to designate who shall use the property transferred or its income; ............................................ 0 [i] c. retain a reversionary interest; or.......................................................................................................................... 0 [i] d. receive the promise for life of either payments, benefits or care? ...................................................................... 0 [iJ 2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration? .............................................................................................................. 0 [i] 3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death? .............. 0 ~ 4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which contains a beneficiary designation? ........................................................................................................................ 0 ~ IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. Under penalties of pe~ury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct and complete. Declaration of preparer other than the personal representative is based on all information of which preparer has any knowledge. ADDRESS DATE / L / J 2 J 2-~S . PA DATE 12/12/ ?o<.--~~ . I For dates of death on or after July 1, 1994 and before January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 3% [72 P.S. 99116 (a) (1.1) (i)]. For dates of death on or after January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0% [72 P.S. 99116 (a) (1.1) (ii)). The statute does not exemot a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and filing a tax return are still applicable even if the surviving spouse is the only beneficiary. For dates of death on or after July 1, 2000: The tax rate imposed on the net value of transfers from a deceased child twenly-one years of age or younger at death to or for the use of a natural parent, an adoptive parent, or a stepparent of the child is 0% [72 P.S. 99116(a)(1.2)]. The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is 4.5%, except as noted in 72 P.S. 99116(1.2) [72 P.S. 99116(a)(1)]. The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12% [72 P.S. 99116(a)(1.3)). A sibling is defined, under Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption. REV-1504 EX+ (6-98* COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE C CLOSELY-HELD CORPORATION, PARTNERSHIP OR SOLE-PROPRIETORSHIP ESTATE OF John R. Druschel FILE NUMBER 21-05-0777 Schedule C-1 or C-2 (including all supporting information) must be attached for each closely-held corporation/partnership interest of the decedent, other than a sole-proprietorship. See instructions for the supporting information to be submitted for sole-proprietorships. ITEM NUMBER NUMBER DESCRIPTION 1. John R. Oruschel & Associates, LLC, a Pennsylvania limited Liability Company VALUE AT DATE OF DEATH 0.00 TOTAL (Also enter on line 3, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) 0.00 REV-1505 EX+ (6-9W COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE C-' CLOSELY-HELD CORPORATE STOCK INFORMATION REPORT ESTATE OF John R. Druschel FILE NUMBER 21-05-0777 1. Name of Corporation John R. Druschel & Associates. LLC Address 3901 Chestnut Street City Camp Hill 2. Federal Employer I.D. Number 02-0698686 3. Type of Business IV administration to nursing home patients State~ Zip Code 17011 State of Incorporation Pennsylvania Date of Incorporation OS/21/03 Total Number of Shareholders One (1) Business Reporting Year Cal. Product/Service administration of IV's to nursing home patients 4. Common Votin 1000 none 1000 $ $ 0.00 Preferred Provide all rights and restrictions pretaining to each class of stock. 5. Was the decedent employed by the Corporation? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. III Yes 0 No If yes, Position President & CEO Annual Salary $ 16,00000 lime Devoted to Business 100% 6. Was the Corporation indebted to the decedent? ................................. 0 Yes !l No If yes, provide amount of indebtedness $ 7. Was there life insurance payable to the corporation upon the death of the decedent? .. . .. 0 Yes JlI No If yes, Cash Surrender Value $ Net proceeds payable $ Owner of the policy 8. Did the decedent sell or transfer stock in this company within one year prior to death or within two years if the date of death was prior to 12-31-82? o Yes IJ No If yes, 0 Transfer 0 Sale Number of Shares Transferee or Purchaser Consideration $ Date Attach a separate sheet for additional transfers and/or sales. 9. Was there a written shareholder's agreement in effect at the time of the decedenfs death? ....0 Yes IXI No If yes, provide a copy of the agreement. 1 O. Was the decedent's stock sold? .................................................. 0 Yes iI No If yes, provide a copy of the agreement of sale, etc. 11. Was the corporation dissolved or liquidated after the decedent's death? ................... 0 Yes iii No If yes, provide a breakdown of distributions received by the estate, including dates and amounts received. 12. Did the corporation have an interest in other corporations or partnerships? . . . . . . . . . . . .. 0 Yes III No If yes, report the necessary information on a separate sheet, including a Schedule C-1 or C-2 for each interest. THE FOLLOWING INFORMATION MUST BE SUBMITTED WITH THIS SCHEDULE A. Detailed calculations used in the valuation of the decedent's stock. B. Complete copies of financial statements or Federal Corporate Income Tax retums (Form 1120) for the year of death and 4 preceding years. C. If the corporation owned real estate, submit a list showing the complete address/es and estimated fair market value/so If real estate appraisals have been secured, attach copies. D. List of principal stockholders at the date of death, number of shares held and their relationship to the decedent. E. List of officers, their salaries, bonuses and any other benefits received from the corporation. F. Statement of dividends paid each year. List those declared and unpaid. G. Any other information relating to the valuation of the decedent's stock. (If more space is needed, insert additional sheets of the same size) Schedule C-1 Attachment to Inheritance Tax Return of John R. Druschel, 21-05-0777 A. The value of decedent's stock is calculated with reference to the income statement for the period ending November 30, 2005, and the balance sheet as of November 30, 2005, copies of which are attached hereto, as follows: 1. Operating Loss of $21 ,203 YTD showing no value based on a multiple of earnings. 2. Negative Book Value of$90,255 as of 11/30105, showing no value based on a multiple of book value. 3. The Company has no revenues, no operations, no assets, no employees, no independent contractors and no activity of any sort aside from ongoing litigation. See G below for a discussion of the ongoing litigation. B. All Federal Corporate Income Tax Returns are attached for this company from its inception in 2003 as a corporation. C. No real estate was owned by the company. D. Decedent was the only stockholder in the company. E. Decedent was the only officer in the company. For 2005, he received a salary at the annual rate of $16,000 without any benefits or bonuses, except for the reimbursement of business expenses shown on the income statement. As of his death on August 19,2005, he had collected $11,900 in salary. F. No dividends were declared or paid for 2005. For 2004, a dividend of$109,962 was declared and paid. For 2003 no dividends were declared or paid. G. The Company filed a claim against the independent contractor to whom an $84,850 account payable is owed on the basis that the independent contractor tortiously interfered with and took business from the Company while the decedent was living. This was the Company's largest customer. Upon the transfer of the Company's Membership Interests to the sole heir to the Estate, the decedents wife, the costs of this lawsuit, will also fall upon the decedent's wife. The potential value of this litigation is the only asset of the Company. The Pleadings in this litigation are attached hereto. John R. Druschel & Associates, LLC Financial Statements For the Period Ended November 30,2005 (Unaudited/Interim) Financial Statement-Druschel 11/30/05 Carey Associates, Inc. Accounting & Tax Services November 30, 2005 Estate of John R. Druschel 3901 Chestnut Street Camp Hill, P A 17001 To whomever it may concern: Attached is the Balance Sheet as of November 30, 2005 for John R. Druschel & Associates, LLC and the related Statement of Income and Retained Earnings for the year then ended. These statements were prepared based upon information submitted by you to our office. If you have any questions regarding these statements, please contact our office. Thank you very much for your business. Sincerely, CAREY ASSOCIATES, INC. l#AJ/ Skyler Daugherty, Accounting & Tax Manager Carey Associates, Inc. 542 Bridge Street New Cumberland, PA 17070 Phone (717) 774-4382 Fax (717) 774-4928 John R. Druschel & Associates, LLC Statement of Income and Retained Earnings For the Period Ended November 30, 2005 Revenue: Gross Sales less Discounts & Allowances $341,082 Total Revenue $341,082 Direct Job Costs: Contracted Services Job Materials $234,581 $3,250 Total Direct Job Costs $237,831 Gross Profit Total Operating Expenses, See Schedule Net Income (Loss) From Operations Other (Income) & Expenses: Interest Income Interest Expense $0 $0 Total Other (Income) & Expenses Net Income (Loss) Beginning Retained Earnings Distributions to Shareholders Ending Retained Earnings Financial Statement-Druschel $103,252 $124,455 ($21,203) $0 ($21,203) $15,798 $0 ($5,405) 11/30/05 John R. Druschel & Associates, LLC Schedule of Operating Expenses For the Period Ended November 30, 2005 Compensation of Officer1s Salaries-Operations Payroll Taxes-G&A Administrative Services Professional Development Advertising Vehicle Expense Dues & Subscriptions Licence Insurance Office Supplies & Expense Equipment Postage & Delivery Legal & Professional Fees Payroll Service Fees Telephone Meals & Entertainment Depreciation (Estimated) Amortization (Estimated) Total Operating Expenses Financial Statement-Druschel $11,900 $56,982 $5,269 $1,320 $1,277 $1,675 $22,902 $275 $75 $2,696 $83 $1,080 $30 $5,933 $773 $4,211 $7,973 $0 $0 $124,455 11/30/05 John R. Druschel & Associates, LLC Balance Sheet As of November 30, 2005 Assets Current Assets: Cash in Bank and On Hand Accouts Receivable ($5,405) $0 Total Current Assets ($5,405) Fixed Assets: Depreciable Assets Accumulated Depreciation $11,064 ($11,064) Total Fixed Assets $0 Other Assets: Software Accumulated Amortization $0 $0 Total Other Assets $0 Total Assets ($5,405) Financial Statement-Druschel 11/30/05 John R. Druschel & Associates, LLC Balance Sheet As of November 30, 2005 Liabilities & Stockholders' Equity Current Liabilities: Accounts Payable $84,850 Total Current Liabilities $84,850 Long- Term Liabilities: Loans Payable $0 Total Long-Term Liabilities Total Liabilities Stockholders' Equity: Paid-in Capital Retained Earnings $0 ($90,255) Total Stockholders' Equity Total Liabilities & Stockholders' Equity Financial Statement-Druschel $0 $84,850 ($90,255) ($5,405) 11/30/05 For calendar e.ar 2004. or tax A Eff.c1~ dIlla 01 S .tecl.l<ln u.s. Income Tax Return for an 5 Corporation .. Do not tile this fonn "l'll~ss the corporation h,!s timely filed FOml 2553lO Alect to be an S corporation. .. SEIO sepl'lrate instnlctions. 2004, and endin OMS No. 1545.0130 Form 11205 Del'3rtrrJon( ~ \ha T","""'Y Intern..1 R~nua Servl~ 2004 C E:mpl~r k1.r1lificalion nLllllb.r Use the IRS label. Other- . B Bu,ln."" cod. n....."'" wise, 3901 Chestnut Street (~. l""-'ItLlCllon3l print or City or town. $Iola. and ZIP GOd<: J;: Tolalassets ($aa instructions) 541990 type. PA 17011 $ 100 798. F Ch~ck llpplicable boxes: (1) Initial reMn (2) Final return (3) Narne change (4) Address change (!S) 0 Amended return G Enter number of shareholders in the corporation at end of t/'Ie tax year. . . . . . . . . . . . , . . . . . . . . . . . . . . . . . . . . . . . . ., . . . . . . . . . . . . . . . . . . . , . . 100- 1 Caution: Include en trade or business income and ex nse$ on lines la throu h 21. See t/'le instructions for more information. 18 Gro~5 l'P.Cl!ipts Dr sales .. 438 , 721. b less returns and allowances. . C 8al ~ 1 c 2 Co~t of goods sold (Schedule A. line 8) ..............,.,..........,................,................. 2 3 Gross profit. Subtract line 2 from line 1<;..... ......... ... .... ....., . .. , ...... ... .. ... .. ... . .... .. . . ,.. 3 4 Net gain (loss) from Form 4797. Part II. line 17 (attach Form 4797)........... _.............. ........... 4 S Other income (loss) (attach $chedute) . . . . . .. .. .. . . .. . .. . . . .. . . , . . . .. .. . . . .. . .. . . . . . . . . .. .. , , .. . . . . . , . 5 G Total income OS$. Add lines 3 throu h 5 ........................................... _ . . . . . . . . , ,'. .. ~ 6 o 7 Compensation of officers. . . . . . . . . . . . . . . . . . . , . . . . . . . : . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . _ . . . . . . . , . . . . . . . 7 E 8 S8lari~s and wages (less employment credits) '. . . . . . . . . . . . . . . . . . . . . . . _ . . . . . . . . . . . . . . . . . . . . , , . . . . . . . . . 8 [) 9 Repairs and maintenance ................. . . , . . . . . . . . . . . . . . , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , , , , . . . . . 9 g 10 Bad debts ,...,.....................,..............."............................................. 10 T 11 Rents. . . . . . . .. , . . . , . . . . . . . . . . . . . . . . . , . . . . _ . . . . . .... , , . . . . . . . . . . . . . . , . . . . . . . . .. . . . . . . . . . , . , . . . . . . .. 11 6 12 TDlCes and licenses. . . . . . . . ... . . . . .. . . . . . . . . . . . . . . ... . . . . . . . . . , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 12 N HI Interest. . .. . . .. .. . . . . . . . . ... . . . , . . . . . . . . . . .. . , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . . . . . . _ 13 S 14a Depreciation (attClch Fon'lf4sfi2) ......................................... 14a b Dopreciation claimed .ot'! SchEldule A and elsewhere on return. . . . . , . . . . . . . .. 14b C Subtract line 14b from line 14<1 ..................., , . . . . . . . . . . . . . . . . , . . . . . . . . . , . . . . . . . . . . . . . , . . . . . . .. 14c I 1S Depletion (Do not !fcduct oil and ga$ depletion.) . .. .. . .. .. .. .. . .. .. .. .. . .. . . . , . . . , . . .. . . . .. . .. . . . .. ... 15 fII ~ 16 Advertising ....................................................,..................,................ 16 'R 11 Pension. profit.sharing, etc. plans ..............,............ _ . . . . . . , . , . . . . . . . . . . . . . . . . . . . . . , . . . . . . .. 11 .g 18 Employee benefit programs .....,..,.............,...,.,..................."....,.................. 18 T 6 19 Other deductions (attach schedule) .....,. ... . S1MT. .. . . . .. . . . . .. . . . . . . . . . . . . . . . , . , . . , . . . . . . . . . . . . . .. 19 N 20 Tobl deductions. Add the amounts shown in t/'Ie far right column for lines 7 Ihrough 19 . . . . . . . . . . . . . . .. ~ 20 s 21 Ordlna business income loss. Subtract line 20 from line 6 .......,.,.,..................... , , , . . . . .. 21 T 22 Tll~ a Excess net passive income llIx (~tt8ch scher/ute) . . . . . . . . . , . . , , . . . . . . . . . . . . . . ,. 22 ~ A X b TalC from SChedule D (Form 11205) .. .. .. .. . . .. .. . .. .. . .. . .. , , . . .. .. . .. ... 22 b c Add lines Z2~ and 22b (see instructions for additional laxil$) ...................,.......................,."....... ~ Z3 P~ymen!s: 1I20D4 estimated tax payments and amount applied from 2003 return ........,.. 23 ill o b Tax deposited with Form 7004 .. . . . . . , . . . . . . .. . .. . . . . . . . . . . . , . . . . . . . . . . . .. 23b P c Credit for Federal tax paid on fuels (attach Form 4136) ............... .. . . .. 23c A d Add lines 23a through 23c . . .. .. . .. .. .. .. . .. . , . .. . . . .. .. .. . .. . .. . " .. . .. .. .. . .. .. .. .. .. . .. , , .. . . .. ... 23 d ~ 24 EsUm3tcd tax penalty (see instrLICtions). Check if Form 2220 is attached .. . . . . , .. . . . . . . . . . . . , . .. ... 0 24 E 2S TalC due. If line 23d is smaller than the total of lines 22c and 24, enter amount owed . . . , . . . . . . . . . . . . . , , .. 2S ~ 2G Ollcrpaymcnt. If line 23d is larger than the total of lines 22c and 24. enter iilmount overpaid ........,..... 26 S '2.7 Enter amount of line 26 ou want: Credited to 200S estimated tax .. ... Rerunded ~ 27 0:1. 01/04 John R. DrU$chel & Associates, LLC Number. slrael. and room or sufle DO. (If.. P.O. box. SG~ in.lruction::;.) 02-0698686 D Claw in""porated OS/21/03 I N C o M E 438 721. 172, 862 . 265 859. 7 365. s l; E 77 164. 155 897. 109 962. Sign Here h""" c..minad aIls relu"" inclll<ling """Oo'llpanying schcdulc~ nnd .'.Iaments. and to I~ but 01 my knowlodg<: and .r;>1ion of prep..,a. (Olller than ta,pi1Y<'r) is based on ,,11 inl""""'lion ", whiCh preparer has any krlowledge. ~~::: ::~~~~~ ~:l~~ (see tnSlrUoti~)? Yes .,.. President Tnle Prcpnrer'to .Ignnlv<c .,.. Pr~parer'S 55N or PTlN No Paid Preparer's Us!:! Only Firm', name ~n:~:y8d). .,.. ~~.nd New Cumberland PA 17070 For Privacy Act aml1>aperwork Reduction-Aa Notice,.seethcseparate in!:tnJctions; 189-IJ6-7069 ErN 25-1819849 BAA Phon! no, ( 717 SPSAOl12 .08/04104-- 774-4382 Form 1'1205 (2004) l ~ p':'( c l...,.,y' x .'-i.... 11 John R. Druschel & Associates, LLC Cost of Goods Sold (see instructions 1 Inventory at beginr'ling of year - . . . . . . , , . . . . . . . , . . . . . . . , . . . . . . . . . . , . . . . . . . . . . . . - . . , , , . . . . . . . , . , . . . . . . . . . . . :2 Purchases". . . . . . .. . . . . . . , . , , . . . . . . . , . . . . . . , . . . . . . . . . . . . . " . . . . . , . . . . . , , , , - . . .. , . , . . . . . . . . . , . . .. . . , . . . 3 Cost of labor ....".,......,........",............... -........ . ,.." .'. ..... , . ... .. "... .. - -.., " .. . ... 4 Additional scction 263A costs (attach schedule) ..",............... - . . . .. .. . . .. , , . -- - . .. . , .. . . . . . . ... . . . .. S Other costs (attach schedule) .....~.. 5LMJ: . . . . . . . , . . . . . . . . . , . . . . . . . . . . . . . . . . , . . . . . . . . . . . , , . . - . . . ... . . . . . G To'b:d. Add lines 1 through 5 , . . . . . . . . . , , . . . . . . . . , , , , - . . . . . . . . . . . . . . . . . , . . . . . . . , , . . . . . . . . . , . . . . . . . - . . . . . . . 7 Inventory at er'ld of year ".,........,.. - . . . . - . . . . . . . . . . . . . . . . . . . . . . . . . . - . . . . . , , . . - - . . . . , , , . . . . . . . , , . . . . . 8 CO$t of goodS sold. Subtract line 7 from line 6. Er'lter here and on page 1, line 2 . , . , . . . . . . . . . . . , , . . . - . . , . , . . 9111 Check all melhods used for valuing closing inventory; , (f) ~ Cost as described in Regulations section 1.471-3 ' (Ii) Lower of cost or market as described in Regulations section 1.4714 (ill) Other (specify method used and attach explanation) .. _ ._ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ~ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ b Cheek it there was a writedown of Sl.Jbnormal goocls as describecl in Regulations section 1.471 -2(c) ..,.............................. ... 8 c Check If the LIFO inver'ltory method was adopted this tax year for any goodS (if checked, attach Form 970) ........... - - - - . . , . . . . . " ... d :~~~~t~~~~~~~~~2' u~d~~oL1F"g~ ~,s~~ ~~~ ~~~~ ~. ~~~~ '. ~~.t~~ .~~~~~~~~~~ .(~~, ~~~~~~~) ~~ .~I~~~~~. . . . _ _ . . . , . . . W e If property Is produced or acquired for resale, do the rules of Section 263A apply 10 the corporation? . . _ .. . . , , . . . . .. .. U Yes 1&)' No f ~~s c~~e a~~v~~~ong~ \~ ~~t;~~~r:c~ ~~a~~~~o;o:t: .~r v~~~ti?~~. ~~~.~~ ~.~~~i.~g . . . _ . . . , . , . . . . . . . . . . . , . . . . . . _ . . I :Ill' du ~ Other Information (see instructions) 1 Chl:c~ melhQd of accaunting: (a) Cash (b) X Accrual (c) 0 Other (specify) .. _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ 2: See the instructions and enter the: (II) 8u~lness actJvi~" .tI~~tc~L..$~f.v_iS~~ _ _ _ _ _ _. (b) PrijduCl or service . "'11~Q.i_C2~ ...?~f.'Li.s:~:t. _ _ _ _ _ _ .3 At the end of the lax year, did the corporation oW\'\, directly or indireclly, 50% or mOre of the voting stock of a domestic: corporation? (For rules of attribution, see section 267(c).) If 'Yes,' attach a schedule showing: (a) name, address, and omployer identification ~mber and (b) percentage OWr'led . . . . . . . . . . . , . . . . . . . . .. . . . . . , . . . . . . _ . . . . , . , . . . . . . . . . . . . . , . , 4 Was Ihe corporation a member of a controlled group subject to the provisions of section 1561? . , "..... .. . ... , . , . ........, S Check this box if the corporation has filed or is required to file Form 8264. Application for Registration Of a TalC Sheller, , , , . . . . . . . . . . . . . .. . , . . . . . . . . _. . . . _ . , , , . , . . . . . . . . . . . , , . . . . . . . . . . . . . . . .. . . . . . . .. . . .. . , , . . . . . . . .. .... 6 Check this box if Ihe corporation issued publicly offered debt instruments with original issue discount .,.. _ . . . . If checked. the corporation may have to tile Form 8281. Ir'lformalion Return for Publicly Offered Original Issue Oil.count Instruments. 7 If the corporation: (a) was a C corporation before it ele1:ted to be an S corporiltion or the corporation acquired an Dsset wilh a basis determined by reference to its bOlSis (or the basis of any other property) in the hands of a C corporation and (b) has net unrealized built-in gain (defined in seClion 1374(d)(l)) in excess of the net reco~nlz.cd built. in gain from prior years, enter the net unrealized built-in gain reduced by net recognized built. In Qain from prior years. . . . . . . . . . . . . , , . , , , . . . . . . . . . . . . . . . , . . . . . . . . . . . . . . . . , , . , . . , . .. .. ~ $ B CheCk"\t)iS box if the corporation had accumulated earnings and profits at the close of lhe tax year ..:-.~.~.~,:-.:-::-.:-:;' TI 9 Arc the corpor~tio~'s to,lal receipts (see instructions) for the talC year and its total assets at the end of the tax year less Ih<ln $250,000, If Yes. the corporallon is not reqUired to complete Schedules Land M.l ......,.",...... _.,. ,. ,. . . '.. .. .. Notl!: If the corporCJtion had assets Of operated a business in a foreign country or U.S. possession, it may be requiret;l to attach SchNultf N 'Fonn 7120, Forei n 0 rations of U.S. Cor. orations, to this return. See Schedule N for deteJUs_ S~ 'd' Shareholders' Shares of Income Deductions Credits etc Shareholders' Pro Rata Share Items Ordinary business income (loss) (page 1. line 21) .... .........., , ... . ... ..... . .... .. , .. . . .. . . .. .. . , ... 2 Net rental real estate income (loss) (attach Form 8825) . . . . . . , , , , . , . . . . . . . . . . . . . . , , . . . . . . . . _ . . . , . , , . . . . 3n Other gross rental income (loss) . . . . . . . . ., ............... ,. . . . . . . . . . . . , 3 a b Expcnse~ from other <enlal activities (JttIJ~h schedule) . .. . .. . . . . . . . . , . . . . . .. . . . . . . ' . .. 3 b c Other net rental income (loss). $ubtraclline 3b from line 3a ........,.................",........ _ . . . . . 4 Interest income ,.... _ . . . . . _ . . , . . , . . . . . . . . . . . . . . . , , . . . . . . . . . . . . . , , , . . . . . . . . . . . . . . . , . , . . . . . . . _ . . , . . . . 5 OivideJ'lds: a Ordinary dividends.. . . . . . . . . , . . . . . . . _ _ . . . .. . , . , , , . . . .. . . . . . . . . , . . , . . . . . . . . . . , . . . . . . . . b Qualified dividends ... . .. .. . . .. . .. . . .. .. . .. .. . , " . . . .. . . ..I 5 bl G RoyAlties. . . . . . . . . . . , , , . . . . _ . . . . . . . . , . . . , . . . . . . . . . . . . . . , . . . . , . . . . . . . , . . , . . . . . . . . . . . . . . . , . . . . . . . . . . , 7 Net short. term capital gain (loss) ."..............".,...........""................,.........".... Sill Net long.term capital gain (Joss) . ...... ... ... .... . , , ......... . . .. _ , . ... ... . '" . . ... .. . . . .. . .. . . .. .... b Collectibles (28%) gain (loss) ......,.................... '... .. . .. .." ' . . . 8b c Unrecllpturcd section 1250 gain (atta~" scherMe). . . .. . . . .. . . , . . . .. . .. . . . . . .. . , . . .. . . S c 9 Net section 1231 gain (loss) (attach Form 4797) .... _......... _...... ..............,'. ..,.. _ _.. , 0 Other income loss attach schedule .......... _ _ _ . . . . . , , . . . _ . . . . . . , , . . . . . . . _ . _ _ . . . . , . _ . . . . . . . . . , , . . . 02-0698686 I N C o M E: ~ S S) SPSA0112 08lil'l/04 1 2 3 4 5 G 7 8 Pol e2 169,431. 3 431. J.72 862. 172,862. Total amount 109 962. Form 11205 (2004) FONTd120S . 02-0698686 Tctal amount 7 549. Pa e3 Deduc- tiOn1il Credits and Credit Rec:ilp- tul'C! Foreign Tran~. actions Alterna- tive Mlnl- mum Tax (AMt) Item!; Item!; Affec. tlng Share- hGld~r Basis Other Inform- ation BAA John R. Oruschel & Associates, LLC Shareholders' Pro Rata Share Iterns (continued) 11 Section 179 deduction (attach Ferro 4562) .. . .. .. . . .. . .. , . . . .. . . . . .. " . . .. . . .. .. . . . .. , , . . . . . . 12 a Contributions, .. . .. . . , . . . , . . . .. . . - . .. . , . , . . . . . . .. . . . . , , .. . . . . . . - , . , . . . .. . .. . . . , . . . , , . . . . . . - b Deductions related to portfolio income (attach schedule) . . .. . . .. .. . . . , . .. .. .. .. . .. . . .. . .. . . . .. c Investment interest expense. , . . . . . . . . . . . , . , , , . . . . . . . . . . , . . . , , . - . . . . . , . , . . . . . . . . . . . . . . . . . - . . d Section 59(e)(2) expenditures (1) Type .... _ _ _ _ _ _ _ _ ~ _ _ _ _ _ _ _ _ _ . (2) Amount .... e Other deductions attach $chedule ..,.,... . . . . . . . . . . , , . . . . . _ . . . . , . . . . . . . . . . . . . . . . . . . . - . . . . . 13a Low-income hO\JSing credit (section 42(j){5)}.,.....................,.... .... ........,.'..... . b Low-income hoUSing credit (other) ..............".... ~ . . . . , .. . _.. _ . , .. ... . .. .. .. . . .. . . .. . , . c Qualified rehabilitation expendilur11$ (rental real estate) (sttach Form 3468).. , . . _ . . . _ . . . . . . . . , . . . . . . . . . . , : . , . . . d Other rental real estate credits ........................",.........",...'...........,...... c Other rent;)1 credits . _ , . . . . . . . . . . - . . . . . . . , . . . . . . . . . . . . . . . . . . . . - . . . . . . , . . . . . . : . . . . . . , , . . . . . . . f Credit for alcohol used as fl.le! (attar:h Form 6478) ......"..........",........ _ . . . . . , , . . . . . . Other credits and credit reel lure <act schedvle ...............................,..............,......_ 14a Name of countty or U.S. pOS$e$$ion -...... ... _ _ _ _ ~ _ _ _ _ __ b Gross income from all sources ..,...................,....... _ . . . . , . . , . . . . . . . _ . . . . , . . . . . . . _ . c Gross income sourced at sharel'tolder level ....,......................... _ .. .. .. . .. .. . . . . .. , . Foreign gross income sourced at corporQte level: d Passive ..........,.....,..............................,.,.............,........ _ . . . _ . . . . , e Listed categories (attach schedr,Jle) .............................,.............,............_ f Qcnerallimitation .............................'. _ . . . . . . . . . . . . . . . . . , . . . . . . . . . . _ . . . . . . . . , . . , . Oedl.Jf:tions allocated Brtd epportioned at shareholder level: g Interest expense ..............,..',........ _ . , , , . . . , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . , . , . . . . 11 Other. .. .. . . .. . .. , . .. . . .. .. . .. .. .. , . , . . . " . .. .. .. . . .. . . .. , . .. . . .. . .. .. . . .. , .. . .. .. .. .. . .. . DedlJctlon$ allocated and apportioned at corporate level to foreign SOl/rce income: i Passive .....".................,...............,.,.,.,..............,....,............... J Listed categories ~ch schroule) ........................,...................,.,.......... k General limitation ...".... _ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . _ . . . . . . . . . _ . . . , . . . . . . Other Informafidn: I Foreion taxes pGlid . . . . . - . . . . - . . . . . . . . . . . . . . . . . . . . . . . , . . . . . . . . . _ . . . . . . . . . , . , . , . , . . . . . . . . . . .. 141 mForeign taxes accrued......... -. ..... ...... ..... . '" _.....".,.... " ...........".. ... .... 14m n Reduction in tOlxes available for credit attach schedu(e ..,..................... -..... _. ......,..., ............................... 140 15 il Posl-19B6 depreciation adjustment ...... - .. .. .. .. . .. . .. .. .. . .. .. .. . .. . " , .. .. .. . .. .. . . .. ... 15a b Adjusted gain or 10$$ ....... - . . . . - . . . . . . . . . . . . . . . . . . . . . . . . , , . _ . . . . . . . . . . . . . . . . , . . . . . . . . . . " 15 b c Depletion (ather than oil and gas)................................... "..,.,...............,. lSc ..~ Oil. gas, and geothermal properties - g.rO$s income ......................... _.. . ... ..... . ... lSd e 0/1, gas, and geothermal properties - deductions...,...... _......... ... .. . ...... ... ... ...... 15c f Other AMT items (attach schedule ..................."................."..,,,............ 1Sf 16a Tax.exempt interest inCOlTIe ................... ................ ....... ... ....... ..' ..., ..... 1611 b Other t~X-~Xl\>mpt inr.nmp. .. . . . . . . . . . . .. - " . . . . . . . . . . . . . . . . .. . . . . . , , . , . . . . . . _ . . . _ . . . . . . . . . .. 16 b c Nondeductible ex~nses ................ - .. .. . .. .. . .. . .. . . . . .. . .. .. .. . .. .. . .. .. . .. .. . . . . . .. '6c d Property distributions ...................................... _ , . , . . . . . . . .. .. . . .. .. . . . . . , .. . .. 1 (; d e Re a rnent of loans from shareholders. .. .. .. .. .. . . , . . . .. . .. . . .. .. . , .. .. . " , . .. .. .. .. . . . . ." 16e 17a Investment income...................,...,.............,.",.... _... _.... . _,....,......... 17011 b Investment expenses.. .., ........ . -.. ........,............. .. '" ., .. . , '" ....... .......... 17b e Dividend distributions paid from accumulated earnings and profits .. . . . . . _ . _ . . . . . . . . . . . . . . . . . .. '7 e d Other items and amounts (DttOlCh schedule) . . . . , . , , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , , . . . . . . . . . . . . . . . . . , . . . . . . _ . . . . . , t'llncomeJloss rec,,"ciUatJon. (Required only if Schedule M-l must be completed.) Combine the amounts on lines 1 through lOin the far right column, From the result. subtract the sum of the amounts on lines 11 throu h 12e and lil'le$ 141 or 14m, .....hichever a lies,....... 11 12 ill 12b 12c 12d 12e 138 13b 13c 13d 13e 13f 13 SPSAO 134 0 I lOSIOS o. o. 1,615. 85 000. o. 102 413. Form 1120S (2004) PaQe 4 , Ca:;h"".,....,."........ ,.., ......, ',' ". 2a Tr.;lde notes and accounts receivable ..',.... b Les~ allowanl;e lor bad debts """,.",.", 3 Inventories,.,.,."" . , . , . . , . , , . . . . . . . . . . , . 4 U.S. Ilovernment obligations.,. ......,...... 5 T;}x'Bx~mpt sacuritie!> .,..,.,.. , . . . , , ' . . , . , . 6 Other current assets (attach seheIMe). . . . . , , . . ' . , . . , 7 Loans to shareholders " , , , . . . . . . . , . . . . . , . . . a Mort!;l<Jge and real estatE! loans. . . . , . . . . . , , . , 9 O\h~( Investment; (attach scheduJIl) .......,.,...,.. -' 10a Sulldtn(ls and other depreciable ass.ets., ..... b L.e5s accumulated depreciation, , . . . , . . , . , . . . 11 a DepletlllJle assets ..,..,.,.'.....,....,..... b LS!$.' accumulated depletion. . . . . .. . .. , , . . . . . 12 Land (net of any amortization) .,.,..,.....'. 1311ln13ngible <lssets (amortizable only) .,."..,. b I.I!:S~ accl.lrtll.lJated amortization, , . , , , . , . , . . , . 14 Other assets (tJttach schedule) . "..." ." ., , 15 TatallllssctS.,....,......,................. Ullbilities and Shareholders' Equity 16 Accounts payable ..........,............... 17 Mo~a\lC~1 noms, bands payable in less than 1 year ..,. 1 B Other curr~t liabilities (atta~.~ sch) ..,...,..,...... 1 9 Loan~ from shareholders ,~........,...... 20 Mcrtgn~, notes, bonds payable in 1 year or ll1Qr~ ...,. Z1 Othp.r liabilities (:tfr.Jch $ClJedulej ...,.............. 22 Co:Jpil<:l1 stock .,.""........".",."...,.. 23 Mdlf.ionaJ paid-in capital ................... 24 Retained eamlng~ , , . . . . . . . , . . . . . . , . . . . . . . . . 2S Adjustments III SMrelloldelS' equily (lilt $&h) . . . . . . . . . . 26 Less cost of treasury stock. . . . . , - . . , . . . , . . , . 27 Totalllebflltres and shareholders' e ui . , . . . , , . 'ieoWeW . Reconciliation of Income (Loss) er Books With Income Loss 1 N~linoome (loss) per books................ 100 798. 2 Jnccm~ in~ded on Schedule K. lines 1, 2. 3c, 4, Sa, S, 7, 8a, 9, end 10. Ilot recorded on books this year (itemize): 15,798. IS 798. 15 798. _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ 6, Deductions included on Sehedule 1\. hnes 1 through 3 Expense:; rtcordcd on book:; this year not included on 12, and 141 or (14m), not charged against book Schedule K, IInc~ 1 through 12, & 141 or (14m) (itllmizer. income this year (itemize): a Depreciation ....... $_ _ _ _ _ _ _ _ _ _ _ a_De_p_reC_i3_tio_n_.._. ._$_- __ _- _-_- _- _-_-_- _- _-~ 12 Travel Dnd entertainment. $ _ _ _ _ _ _ ) L t2,1) .:. ______________________ 1615.7 Add lines 5 and 6 ...................... 4 Add lines] thre h3....................... 102 413. 8 Incorne(loss}(Schedule In 17e),ln4lessln7 .. 102,413. Analysis of Accumulated Adjustments Account, Other A~ustments Account, and Shareholders' Undistributed Taxable Income Previous I)' Taxed (see instructions) (a) Accumulated ,(b) Other cmb~~J1~~~~f~;n~~~~- adjustments a\;count adll,lSlmenls account previDusl taxed 1 B..IClncc Dt beginning of tax year . . , . , , , , , ' , . , , , , , , . . . . . . . , . , . . . , . . 2 Ordinaty Income from page 1. line 21 ,.....,.....,..,..,........., 3 Other addition:; . . , , .. , ' .. .. .. .. . .. .. .. . .. .. . . . ' , , . . . .. .. .. .. . .. .. 4 L.oss from page 1, line 21 , . , . , . . . , ' . . , , . . , . . . , . . . , . . . . . . , , . , . . , , ' . S Other reductions. . . . . . . . . . . . .". , S1MT. , ' , . . ' . . . . . . . . . , . . , . . . . . . . . , '" Combine lines 1 through 5 . . . . . . . . , . . , . . . . . . . . , , , , . , . . . . , , , . , . . . . , 7-Dlstrlbutlons other-than-dividencldistfibutions-.-,-;.. . '''.0; . , , ", -.' ~, a BalMce at end of tax ear. Subtract line 7 from line 6 "...",...", 109/ 962. ~ 9 164. 100,798. .. 8 5 eotl; 15 798. 0-.- o. 0; O. Form 1120S (2004) SPSAOlJ4 01105105 F.'orm 1120 u.s. Corporation Income Tax Return Clt'~r1mcr>l at 1lI~ T"'ll:i~ry For clIlendar year 2003 or tax year beginning M a y 2 1 ,2003, ending 0 e c 3 1 , 2 0 0 3. I"t~"'ttl RO'IP.lIlle S"rvice "Instructions are se 3rate. See' instroetions for Pa erwork Reduction Act Notie&. A Check If II: r>4ame B ~...ld"ntificatlon hurnHt 1 Co<1:/Olldate/l "'turn 0 U J '- R 0 ~........ 1 A (m!l\chf'arm851) ,.. selRS 0111. I\b'.H:: & sscc1ates lie 02 -0698686 2 Pl'IfoOnr)1 ~inQ o'abeh I.. Number, ~tr.:.t, al1ll tllbm 0< suite .lumber (If a ".0. Ila.. see Instn.;tions,) C Oate lncorpQr~l8d C>(lr'loorw 0 t erwlsCl, SW'l!tlll .. . . .. print or 3 9 Ole l'e stnJt S tre e t 0 5 12 110 3 3 P~rtll>nJ:" IP!'oli~e carp fvpe C' (110. den;",<1 '" Reps "'I' IIy or town Sial<: ZIP Code D T,*,,' assets {see in5lruCllOMl Hctlon 1.....1.3{(} - ~aD fnr.tr"Ut:tlon:;) . I . , E Check a licable boxes: Final retlJlTI (3) $ 1 a Gros~ ~ipts or sales 2 11,10 2. b Less returns & aJlQwances . c BalanCll, . '" , c 2 Cost of goods sold (Schedule A, line 8) - . . . . . . . . . . . . . . . . . . . . . . . . . . , , , . . . . . . . . . . . . , . . . . . . . _ . . . . . . . . . . 2 :3 Gross profit. Subtraclline 2 from line 1 c . . .. .. .. . . . .. . . . . .. . . . . .. .. .. . . .. .. . . . . . .. .. . . .. . . .. . .. . . . .. 3 4 Dividends (Schedule C. line 19) . . .. . . . . , .. _ . . . . . . " , , . .. . . . '" . .. . . . . . . . _ . . . , . .. . . . . . . . . .. , . , . . . . . . 4 5 Interest.... , . . , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . _ . . . . . . . . . . . . . . _ . . . . . . . . . . . ., . . _ . . . . . . . . . . . . . . . . 5 5 Gross rents ...,.............,..... - . . . - . . . , , . , . . . . . . . . . . , . . . . . . . . . . . . , . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 7 Gross royalties ......,.................,......................................,................... 7 a Cepital gain net income {attach Schedule D (Form 1120)) . . .. . . . . . . .. . .. .. .. . .. . . .. . .. . .. .. . . . .. . . . .. B 9 Net gain or (loss) from Form 4797. Part II, line 18 (attach Form 4797) ........"...................... 9 10 Other Ina:om~ (see instructions - attach schedule) . .. . .. . .. . . . .. .. . . " . . .. . ........ . . .. , . . . . . .. . . .. . _ .. .. .. ... 10 " Tot:.1 iJ)l;ome. Add lines 3 throu h 10 .......,.............................."..................,. II- 1"1 12 Compensation of officers (Schedule E. line 4) . . . .. .. . . .. . .. . " . . " .... . .. _ . . . . , , .. , , .. . . . .. .. . .. . . .. 12 D" 13 Salaries and wages (less employment credits) ...................................,..,.... _ . . . . . . . . . _ 13 g ~ ~~ ~~~a~~~~n~. ~~~t~~~~~~. : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : :: : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : :: ~: g ~ 16 Rents....................,..................,.,..................,............................... 16 T ~ 17 Taxes and licenses.. . . ..,.....,. .... ..........,....... _............,.................,.,.,....... 17 b I 18 Interest..............,.............................................,...................,......... 18 N T 19 Charitable contributions (see Instructions for 10% limitation) ..........,........................,...,. 19 S 0 20 Depreciation (i1lttach Form 4562) . .. .. . .. ..... .. .. .. . .. .. .. .. .. .. _ .... .. .\ 20 I 3 ,5 15 . 5 ~ 21 Less depreciation claimed on Schedule A and elsewhere on rerum ........ f'21'al 21 b ~ 0 '-2 Depletion .........."."..,....,................,.......................,.....,.,................ 22 I N 23 Advertising.... . . . . . . . . . . . . , . , . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . . . . . . . . . . . . . . . . . . . . . . , , . . . . . , . . . . . . .'. 23 ~ ~ 24 Pension. profit-sharing, etc. plans. . . . . . . . . . . . . . . . . . . . . . . . . , . . . . , . . . . . . . .. . . . . .. . . . . . , . , . . . , . , . . . . .. 24 ~ ~ 2S E:mployee benefit programs ..........,.,..........................,........................,...". 25 1,1 c Z6 Other deductions (altach schedule) _ .See. Olhet.OeductiofJs.Statemflflt. . . .. .. . . . . . .. . . . . . . . . . . . . . . _ . .. . . . . . _ .. 26 ~ T 2'1 Total dedu<;tions. Add lines 12 through 26..... :............ ............. ......... .. ....... ........ ~ 27 b ~ 2:8 T~Qb'e ,"COme before net operating loss deduction and spetial deductions. Subtract line 27 from line 11 ,.,., . . . . . . . . . . . . . .. 28 ~ :; ~9 Le$s: it Net operating 1055 (NOL) deduction (see instructions) . . . . . . . . . . . . . . . . . . . . .. 29 a b S ecial deductions Schedule C. line 20) , , . . . . . . . . . . . . . . . . . . . .. 29 b 30 Taxable income. Subtract line 29c from line 28 ...........,..............................,...,...... 31 Total tax (Schedule J, line 11) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . . . ,. . . . . . . . . . . . . . . . . . . . . 32 PlIyrtlents: a ~~~~~n: . . . . . .. 32 a b 2003 eslimat~d tax payml!!nts ...... 32b c Less 2003 refund applied for on FQrJII 44G6 " 32 c d Ball> e Tal( deposited with Form 7004'.. .. .. . .. . .. .. . . . . .. . . . .. .. .. _ . . .. . . .. .. , . f Credit for tax paid on undistributed capital gtilins (attach Form 2439) , . . . . . . 9 Credit for federal tal<. on tl,Jels (attach Form 4136). See instructions.... _." 329 32 h 33 E.$tlmated tax penalty (see mstructions). Check if Form 2220 is attachod . . . . , . . . . . . . . . . . . . . . , '" 33 34 Tax due. If hne 32h is smaller than the total of lines 31 and 33. enter amount owed, .. . . . . , . . , , . . . . . . .. 34 35 Overpayment. If line 3 is larger than the total of lines 31 and 33. enter tilmOl.lnt overpaid .,...,....... as 36 Ent~r amount of line 35 we Credited to 2004 mimatlld tax . . . . . . . . . . ... Refunded" 3S unc~r naltles 01 ~,jury. I 18... t II nline<llhi. '~"'n. indudi"9 ~=mp.,nyi"9 ochodul... ~n<;f lll;\_r.nl:o. .110 to 1hl: ~ of mv kllQW18<l1le Sign /)00; n Ii b..... Cll,rKl. 8. I let '18.. liOlI 01 llI.tllsret (O/he, In..n xpoyer) IG hi:l!;ed an on information 01 whid> prop;lrct h.'l.l' iItly knowledQe. Here .. .. Pre sid e nt TiUe BAA I N C o M E T A X A N D F> A Y M E N T S Pr"p;l'''r'~ SS/oj 0< PilN J8 9 -4 6 -7 0 6 9 E1N 57 -117 6 0 0 3 Paid Preparer's Use Only ~%,,~~'s .. Flrm's Name (0' )'OUtS il 'O".ompl~<l). Bddress. 8nd l1f"CO<le .. 542 New 11\ 17070 1"110"~ No. CPCA0212 08129103 .~sh- OMB No. 154S~12i 2003 1,987. 211.102 . 211.102. 211102. 8,075. 1500. 964. 3.515 . 197048. 211102. o. o. Mal' ltI9 IRS a~... lhis relum with IIl9 p"'P"..... shown belOW? {S89 i...I)' X Ye:$ No Form 1120 (2003) F~rm 1120 (2003 J 0 m R - 0 rusd"e \& A S!O cia tE! s.. LLC 02 -069868, 6 POI e 2 Cost of Goods Sold see instructions . 1 Inventory at beQinning of year.. . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . 1 2 Purchases............................. . . . .. .. .. .. . .. .. . . . . . . . .. .. . . .. .. .. .. . . . . . . . .. . . . . . .. . . .. .. . . . . . 2 3 Cost of labor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . _ . . . . . . , . . . . . . . . . , . . . . . , . . . . . . . . . . . . . . . . . . . . . . . , . . . 3, 4 Additional Section 263A COsts (altac:h schedule) . . . . . . . . . . . . , . . . . . . . . , . , . . . . . . . . . , . . . . , . . . . . . . . . . . . . , , . . . . . . . . . . . , . . 4 5 Other costs (attach schedule) ...................,.............,.................,.,....".....,...."... 5 6 Total. Add lines 1 through 5 , . . . . . . ,. . ,. .. . . . . .' . ., , . . . .. . . . .. . . . . .. ., . . . . . . , . . . . . . . . . . . , . . . . . . . . . . . . . , . , 6 7 Inventory al end of year .....,..,.......,..............................,.............................,.. 7 a Co!:t of goods sold. Svbtract line 7 from line 6. Enter Mre and on line 2, page 1 :........................... 8 911 Check. all methDd~ used tor valuing closing inventory: . (I) B Cost as described in Regulations sedion 1.471-3 (il) Lower of cost or market as described in Regulations section 1.471,4 (Iii) Other (specify metl10d used and allllch explanation.) ....... ... b Check If there was a writedown of subnormal goods as describ;d~n-~;uj;tk,;' -s;ctio~ ~.~i.2(; ~.~.~.~.~.~.~.~.~.~ .~.~.~.~;: -8- - -- e Check if the UFO inventory method was adopted this tall year for any goods (if checked. attach Form 970) . ..........,...,'.. '"' d ~o~~~:~ ui::~~~O ~~~~~~, ~~~. ~~~ :~~ ~~i.~ ~~ .~~~~'. ~~~~ :.~r~.~~~~~ .(~~ .~~.~~~~S? ~~ :~~~i,~~ .i~~~.t~:. . . . t 9d I ll! If property is produced or acq",ired for resale, do the rules of section 263A apply to the corporation? .,...."........... 0 Yes [J No f ~~~~~~;:~fc Ch?"~~~~.~~~~~n~~gl~::g~~~~'. ~~~'. ~~.~~I,~at~~~.~~~. ~:.e.~i~g. ~~.~.....,',.....,..,............ Yes NQ Dividends and Special Deductions (a) Dividends (b) Percentage (C) Special deductions (sec InstrlJClJons) received . (8) X (b) 1 Dividends from less.than.20%,oWlled domestic corpQrahons that are subject to the 70% dcdUt;tion (other than debt.financed stock) "..... 2 Dividends from 20%.or.more.owned domestic corporations that are !pub)cct to the 80% deduction (other than debt. financed stock) ....... 3 Olvidands en debt.financed stock of domesbc and foreign corporations (sedion 246.4.) , 4 Dividend~ on certain prel~rred stock of less.tI1an-20%.ownBd public lItililies ..,..... S DIvIdends on C9tlain preferred srock of 2O%.or.more-OWI1Ild public utilifies . . . . , . . . . Ei Dividends from less.than-20%-owned foreign corporations and Certain FSCs that are subject to the 70% deduction. . . . , . . . . . . , . 70 80 42 48 70 7 Dividends. from 20%.or.more.owned foreign corporations and certain FSCs that are subiect to the gO% deduction. . . . , ., . . . . , . 8 Dividends from wholly owned foreign subsidiaries subject \0 the 100% deduction (seClion 245(b)) . . . . . . . . . . . . . . , . , , . , . , . . . . . . . , . . . . 9 Total. Add lines 1 through B. See instructions for limitation .......'.. 10 Dividend; from domestic Co(por~tiQn$ received ~y a $I1'Iall business investment company operating under tho Small Business ltwestrnent Act of 1958 . . . . . . . , . . . . . . 11 Dividends from ccrt:lin FSCs that are s~biect III the 100% deduction (see 245(0)(1)). ,. 1% Dlvldcnd~ "'01'1'I affiliated group members subject to the 100% deduction (section 243(a)(3)) .,.,'.,.,....,...,.,............."., other dividends from fOrelpn corporations not mcluded on lines 3, 6, 7, 8, Dr 11 ..". . lnmmo from controlled foreign corporations under subpart F (attach Form(s) 5471) '" FOfcllln dlllldend gross.up (section 78) .........................." le.DISC and former DISC dividends not included on lines I, 2. or 3 (section 246(d}) , . . Other dillidends . . . . , . . . . . , . . , . . , , . , , , . . . . . . , , . . . . . . . . . . . , . . , . . , . , OedllCtion for dividends paid on certlin preferred stock of public utihliu . , . . , . . . . . . T~t<ll clividends. Add lines 1 through 17. Enter here llnd on line 4, page 1 . . . . . . . . .. Tot.,1 s ecial deductions. Add lines 9,10,11,12, and 18. Enter here and on line.29b a e 1 ................... ~ . t!:. dl'i'i~Ef Compensation of Officers (see instructions for line 12) Noto' Complete Schedule E only ifrotal receipts (line la plus lines 4 through 10 on page 1) are $500.000 or more. 80 100 1 (II) (b) \C:) Percent of Percent of corpor:lfian stock awned (I) Amount of ime devoted Name of officer Social securily numb9r to bU$ir\E!ss (d) Common (e) Preferred compensation % % % % % % % % % % % % % % % 2 Total compensation of officers . . . , . . . . . . . . . . . , , . . , . , . . . . . . . . , . . . . . . . . . . . . . . , . . . . . . . . . , . . . , . . . . , . . , . . . . . . . . . . . . 3 Compensation of officers claimed on Schedule A and elsewhere on return. . . . . . . . . , , . . . , . . . . . . . . . . . . . . , . . , . . . . . . . 4 Subtract lir'le 3 from line ?. Enter the rt!l$\,Ilt herlll and on line 12. DlIoe 1 .......rl...' .... ....,.......... ........... -- _.._--'-'_,,_~------- .. -- Cl'CA0212 ll8I2i1ll3 Form 1120 (2003' J 0 tn R . D ru;cre 1 & A sso cia te s lLC Tax Com utation (see instructions Check if lhe corporation is a member of a controlled group (see sections 1561 and 1563)... _.... .... . ~ Important: Members of a controlled group. see instructions. 2 a If lhe box on line 1 is cheeked, enler the Corporation's share of the $50,000, $25.000, & $9,925.000 taxable income brackets (in tllat Diller): (1) $ (2) $ (3) $ b Entcr the corporation's share of: <1> Additional 5% tax (OIl! more than $11,750) ..,....., $ (Z) Addilionel3'Yo tl\~ (nM mort! than $100,000) ........ $ 3 Income tme. Check if Q qualified personal service corporation under settion 448(d)(2) (3eEl instrUClions) . . , , , . . . . . . - . . . . . . . . . . . . . . . . . . . . . . , . . . . . . . . . . . , . . . . . . . , . . . . . . . . . , . , . . . . . . . . . . . . .. 0 4 Alternative minimum tax (aUQch Form 4626) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . , , . . . . . . . . . S Add lines 3 and 4 ........,...........,.......................................,......................,.. 6a Foreign tax credit (attQch Form 1lIB) ... .................".. ..... ." , ,.... ... 6 a b Posscssions tax credit (attach Form 5735) .. . . . . . . . . . . . , . . . . . . . . . . . . . . . _ _ . . . . . 6 b c Check: 0 Nonconventional soun:e fuel credit 0 QEV credit (attach Form 8834) .......",. 6 c d General business credit. Check box(es) and indicate which forms are attached. o Form 3800 0 Formes) (specify) . ... _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ . 6d e Credit for prior yeGlr minimum talC (attach Form BB27) .........,................ 6 Q f Quelified zona academy bond credit (attach Form SS60) .., . . . . , . . . . . . . . . . . . . . . . 6 r 7 Total credit$. Add lines 6a through 6f . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . , . . . . . . . . . . , . , . . . . . _ . . . . . . , , . . . . . . a Subtract line 7 from line 5 .......... _ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . . . . . . . . . . . . . . . . . . . . . . . 9 Personal holding company tax (attach Schedule PH <Form 1120)) , .. .. .. ... .. . " . .. . . . .. . .. . .. .. . .. . .. . .. . . 10 Other taxes. Check if from: B Form 4255 B Form 8611 0 Form 8697 Form 8866 Other (attach schedule) . . . . . . . . , , . . . . . . . . . . . , . . . . . . 11 TotllltlllC. Add lines 8 throu h 10, Enter here 9nd on line 31, a e 1 ........................................ aieCliI " fl 'Other Information (see instructiofl$) 1 Check method of Qccol.mting: ~B~r~speCdY~~~::~____ __ _ ___ ___ 2 Sce the instructions and enler the: a Business activity code no." 5 4 19 9 0 b Bus.lnC!$s actiVity ... M 8) Ie A-LSlRv Its - - - - c Ptoduct or service" - M1rr:[t'A 1 5 ERV-IC 5- -- .3 At the end of the tax year ~ dTlihe corporatiOn own, - - dircctly or indirectly, 50% or more of the voting stock of Gl domestic corporation? (For rules of attribution, see sccllon 267(c).) ......... ........................ If 'Yes; allach a schedule showing: (a) name lilnd employer identificOlti01"i number (EIN), (b) PetcenlBge owned, and (c) tallable income or (loss) before NOL and special deductIOns of such corPQrIltlon for the tax year ending with or within your tal( yeef. 4 Is the corporation a subsidiary in an affiliated group or Ii parent-SUbsidiary controlled group? .............. If 'Ycs,' cnter name and EIN of the parent corporation .. 02 -0 698686 Pa e3 7 At any time during the tax year, did anI? foreign person own, directly or indirectly, at least 25% of (a) the total voting power of all classes of stock of the cotpotation entitled to vote or (b) the total "alue of all classes of stock of the corporation? ........,.,.... _ . . . . . . . . . , . . . . . . . . If 'Yes; enter: (a) Percentage owned ........ .. _ _ _ _ _ _ ar.d (b) Owner's country" _ _ _ _ _ _ _ _ _ _ _ _ _ ~ _ !:: The corporation may have to file Form 5472, Information Return of a 25% Foreign-Owned U.S, Corllotation or a Foreign Corporation Engaged in a U.S. Trade or Business. Enter number of Forms 5472 attached. . . . . . . . . . . . . . . . . . . .. ,.. _ _ ~ _ _ _ _ _ 8 Check this bOll: if the corporation issued publicly offered' debt instruments with original issue discount. . ., . .... 0 If checked, the corporation may have to file Form 8281, Information Return for Publicly Offered Original Issue Discount Instruments. 9. Enter the amount of lax-exempt interest received Or accrued during the tax year ...... $ _ _ _ _ _ _ _ _ _ _ _ 10 Enter the number of shareholders at the end of the tax year (if '75 or fewer) , , . , , , . . . . . . . . . . . - . . . . . . . . . . . . . . ,. ~ _ _ _ _ 11 If lhe corporation has an NOL fat the tax year and is elec~ to forego the carryback period, check here . . . . . . . .... U If the ~orpDration is filing a consolidated return, the statement required by T&m~rary Regulations section 1.i 502-21(bX3)(i) or (ii) must be attached or lhi! election will nM be valid. 12 Enter the available NOL carryOv<i!r from prior tax years (Do not reduce it by any deduction on line 29&.) 6 Durln(:l this tax year. did the corporation pay dividends .. $ (othcr than stock dividends and distributions in - - - - - - - excnongc tor !lIOCk) in excess of the corporation's Ate the corpO"ralion7s total receipts (line 101 piUS lines 4 curr~nt'an<.l accumulated earnings and profils? (See through 10 on page 1) for the tax year and its totial assets sections 301 and 316.) .........................,.... at the end of the tax year less than $250.0001 . . .. .. .. . . . . . .. If 'Yes: rile Form 5452. Corporate Report of If 'Yes; the corporztion is not required to complete Nondlvldend Distributions. Schedules L. M-l. and M-,2 on page 4. Instead, enter the If \his is Il consolidated relUTn, answer here for the total amount of cash distributions and the book value of parent corporation Clnd on FQnn 851, Affiliations property distributions (other than CQSh) made during the Schedule, for each subSidiary. tax year. ~ S _ _ _ _ _ _ _ _ _~..; _ _ _ _ _ _ _ _ __ Note: If tl'll/! corportltion, at any time during the fax year, had asSQ(s or o,:>erated a business in a foreign !::ol.lntry or U.S. possession, it may be re"l,J/~ to tJtttJch Schedule N (Form 7120), Foreign Operations of U.S. Corportiltions, to this return. See Schaal/Ie N for r:ietails. eM .CPCA0234 .1~'OIIQJ . Form 1 120.(2003) 5 Atthe end-ofth"e-tax year~ did-aii';;lndiV'iiJl.lal,-part- -- nCr!\llip. corporation. estate or trust O""''l, directly or indlrcctlt. 50% or more of the corporation's voting :;lock? (l"or rules of attribution. see section 267(c).) .. . . If 'Yes.' attach a schedule showing name and identifying numbet. (Do not include any information &Iteecfy entered in 4 above.) Enter % oWMd" _ _ _199.:..0_0. See Ques 5 Stmt Form 1120 (2003) JotnR.DlUi&el& Associates,LLC 02-0698686 . ration Is nol '~Qui'ed to cOff1/)/ete Sr::h~du{es L. M. Tend M.2 If Ovestion 13 017 Schedule K is answered 'Yes. ' Balance Sheets er Books Beginning of tax year End of tax year Assets (a) (b) 1 Ca:ih.. . . . . . . .. . , , . , .. . . , . . . . . . .. . . .. . .. .. , 2a Tr;';lde notes <ind accounts receivable.,. .... . b Less allowance for bad debts .............., 3 Inventories. . . . . . . . . . . . . . . . . . , . . . . . . . , . , . . . 4 u.s. !lovcrnment oblioatioliS ................ 5 Tax.exempt securities (see instructions) ..... 6 Olher curront assets (attadl scll!<lule) . . . . . . . . . . . . . . . . 1 LOllns 10 shareholders ... . . . . . . . . . . , . ' . . . . . . 8 Mortqa~c ~nd real estate loans . . . . . . . . . . . . . . 9 Other il1Vestrnents (attach schedule) ................ lOa Buildings and olher depreciable assets.. ..... b Less aCcumulated depreciation, . . . . . . . . . . . . . , , a DeplE>table <isseis . . . . . . . . . . . . . . . . . . . . . . . . . . bLess l:ICcvr'!'lvl<.'lted depletion . . . . . . . . . . . . . . . . . 12 Land (net of any amortization) .............. l3a Intmgible assets (amortizable only) ......... .. ,"-'" !. b LCi>:> accumulated llmorti7.alion . . . . . . . . . . . . . . 14 O\'tIp.r assets (Attach schedule) .................... 1S Tolol assets ............................... Uabilitics and Shareholders' Equily 16 Accounts payable .......................... 17 MolillallCS, noms, bond $ payable in less than 1 year .... 16 Other curr$nt Iiabiliti$$ <atta~h seh) ................ 19 Loans from $hpreholders ................... 20 Mor1lla!lDs, noles, bond$ payable in 1 year or more ..... 21 Oth~r Habltlties (attach selledule) .................. n Capital stock: a Preferred stock. . . . . . . . . . . . b Common stock ............ Additional paid.in capilal ................... R~ln"~d ~;\"""9to - Approp (:Ill tell) . . . . . . . . . . . . . . . . Retained earnings - Unappropri2ted ........ ,!\dlmn! tQ ~hnrehal,*,r:;' CQuilY (;\II~) .. . . . . . . . . . . . . . La:;'$ cost of treasury stock.. .. . . .. . . .. . .. .. . Page 4 1,987. . , 1.987. " .~ o. 1,987. S Expenses recorded on books this year 1701 deducted on this return (itemize): a Depreciation ....... $ _ _ _ _ _ _ _ _ _ _ _ b Cl1arltabla contributions . $ _ _ _ _ _ _ _ _ _ _ _ c Trnvol & entertainment. . $_ _ _ _ _ _ _ _ _ _ _ o. 1 2 :3 ----------------------- CI"CA0234 1 2/Q8IG3 o. -..---------.---.-.----.----------- Form 1120 {2003) 4 Add lines 1, 2, and 3 John R. Druschel and Associates, LLC, Plaintiff : IN THE COURT OF COMMON PLEAS :OFCUMBERLANDCOUNTY vs : DOCKET NO. 05-3496 Deana Davis, David Furline, and The IV League, LLC, Defendant : JURY TRIAL REQUESTED : CIVIL ACTION AT LA W NOTICE YOU HAVE BEEN SUED IN COURT. If you wish to defend against the claims set forth in the following pages, you must take action within twenty (20) days after this Complaint and Notice are served, by entering a written appearance personally or by attorney and filing in writing with the Court your defenses or objections to the claims set forth against you. You are warned that if you fail to do so the case may proceed without you and a judgment may be entered against you by the Court without further notice for any money claimed in the Complaint or for any other claim or relief requested by the Plaintiff. You may lose money or property or other rights important to you. YOU SHOULD TAKE THIS PAPER TO YOUR LA WYER AT ONCE. IF YOU DO NOT HAVE A LAWYER, GO TO OR TELEPHONE THE OFFICE SET FORTH BELOW. THIS OFFICE CAN PROVIDE YOU WITH INFORMATION ABOUT HIRING A LA WYER. IF YOU CANNOT AFFORD TO HIRE A LAWYER, THIS OFFICE MAYBE ABLE TO PROVIDE YOU WITH INFORMATION ABOUT AGENCIES THAT MAY OFFER LEGAL SERVICES TO ELIGIBLE PERSONS AT A REDUCED FEE OR NO FEE. CUMBERLAND COUNTY BAR ASSOCIATION 32 SOUTH BEDFORD STREET CARLISLE, PA 17013-330~ (717) 249-3166 c:. r--.:J C:"";"1 C) r.:..::-i -n c.J-. {~"-"" ~ c-: ill ' I , ,,",) " . ,.-1 -..i c) " -~ ~ - , . ~-) >--) . :.i f'..) ~ ..., - -- -~ c:) .< John R. Druschel and Associates, LLC, Plaintiff : IN THE COURT OF COMMON PLEAS : OF CUMBERLAND COUNTY vs : DOCKET NO. 05-3496 Deana Davis, David Furline, and The IV League, LLC, Defendant : JURY TRIAL REQUESTED : CIVIL ACTION AT LAW AMENDED COMPLAINT AND NOW, comes the Plaintiff, John R. Druschel and Associates, LLC, by and through their attorney, Mark K. Emery, Esquire, and files this Amended Complaint as follows: 1. John R. Druschel and Associates, LLC, ("Plaintiffs") is Pennsylvania Limited Liability Company with an address for transacting business at 3901 Chestnut Street, Camp Hill, Pennsylvania 17011. 2. Defendant Deana Davis ("Davis") is an adult individual with a current residence of 524 Chaparral Drive, Cranberry Township, Pa. 16066.. 3. David Furline ("Furline") is and adult individual with a current address of2607 Wyncote Road, Bethel Park, Pa. 15102. 4. Upon information and belief, The IV League, LLC, is a Pennsylvania Limited Liability Company with a current address for conducting business of 524 Chaparral Drive, Cranberry Township, Pa. 16066. 5. Plaintiff is in the business of providing pharmacy supply companies with nurse staffing and nurse availability for intravenous medical services. 1 6. As part of Plaintiff's business, it subcontracted with Defendants Davis and Furline to provide services to Plaintiff's clientele. 7. Plaintiff and Defendants Davis and Furline entered into a related business relationship where as Davis and Furline would act as independent contractors to provide nursing services to Plaintiffs' clientele. 8. No written contract was entered into between the parties, nor were there any specific terms as to when payment would be made for services provided by Davis and Furline. 9. It was the agreement of the parties that Davis and Furline would receive payment for their services subsequent to when Plaintiff received payment from the pharmacy supply servIce. 10. Upon information and belief, Davis and Furline created The IV League, LLC in or about August, 2004, and since such time the have operated under such entity. 11. Based partially upon late payments from the various general pharmacy supply companies, payments from Plaintiff to Defendants became in arrears. 12. In or about June 2005, Plaintiff and Defendants entered into an agreement where Plaintiff would make payment to Defendants of all outstanding balances due on or before June 30, 2005. 13. Unbeknownst to Plaintiff, on June 16,2005 Defendants contacted at least one of the Plaintiff's clients, OmniCare Pharmacy Services of Pennsylvania, stating to OmniCare that Plaintiff was not making payments to them, and that if payment was not made by June 30th Defendants would cease all further services. 14. The intent of such contact was not to advise Omni Care of the potential loss of services, 2 but rather to attempt to usurp the contractual relationship between Plaintiff and Omni Care. 15. Defendants did usurp the existing contract between Plaintiff and OmniCare, and have now commenced providing services directly to OmniCare and direct interference with the contractual relationship between Plaintiff and OmniCare. 16. Defendants action was calculated to create a distrust and concern on the part of Omni Care in order to induce Omni Care to terminate its' contract with Plaintiff and reestablish such contract with Defendants. 17. In or about June 2005, Defendant Furline, while providing services as a subcontractor of Plaintiff, advised a nursing home that the general pharmaceutical supplier, Millennium Pharmacy Services, was not making payment when due. 18. Furline's comments were meant to induce the nursing home to contract directly with the IV League, rather than using Millennium Pharmacy Services. 19. Millennium Pharmacy Services utilizes Plaintiff to provided such services. 20. Furline's comments were made in his individual capacity, as well as in his capacity as a representative and member of The IV League. 21. Defendant's conduct was meant to induce Millennium Pharmacy Services and or the nursing home to contract directly with Defendants rather than through Plaintiff. 22. Due to Defendant's actions, Millennium Pharmacy Services has canceled its contract with Plaintiff and now contracts directly with Defendants. 3 COUNT I TORTIOUS INTERFERENCE WITH BUSINESS RELATIONSHIP 23. Paragraphs 1 through 22 are incorporated fully herein by reference. 24. Plaintiff possessed a current contractual relationship with both OmniCare and Millennium. 25. Defendant's actions were neither privileged nor justified, and were done with specific purpose or intent to harm Plaintiff by usurping the contract Plaintiff held with such entities in order to obtain the contract directly. 26. Plaintiff has suffered actual damages through the loss of the contracts with OmniCare and Millennium and the profits that are generated through such contracts. WHEREFORE, Plaintiff respectfully requests this Honorable Court enter judgement for it and against Defendants jointly and severally and award all further relief allowed by law. Respectfully submitted, LA W OFFICES OF MARK K. EMERY By: .-;7~~ ~ ~.;/.? /T ~J.......~---:;;7 Mark K. Emery, Esquir~ Supreme Court I.D. No. 72787 410 North Second Street Harrisburg, PA 17101 (717) 238-9883 Attorney for Plaintiff DA TE: July 26, 2005 4 VeRJFICATION I, John R. Druschel. on behalf of John R. Druschel & Aseoclates. LLC. hereby verify that I have read tl'l& foregoing Complaint and that the Information contained therein is true and correct to the bel!.1 of my knowledge, information and belief. I understand that false statements nerein are subject to the penalties of 18 Pa.C.S. 94004 relating to unsworn falsification to authorities. ~^~~ bh R. Druschet, Manager t \j DATE: 7-1/~(/r- JOHN R. DRUSCHEL AND ASSOCIATES, LLC, IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA Plaintiff DOCKET NO: 05-3496 vs. JURY TRIAL REQUESTED DEANA DAVIS, DAVID FURLINE, AND THE IV LEAGUE, LLC, CIVIL ACTION AT LAW Defendants NOTICE TO PLEAD () C -9 <. ",,:r ~-n f'; . " ~Z i~. cn~;~'; ~2L ~~l ~ r--> = = c-~ :P" c::: GJ TO: John R. Druschel and Associates, LLC -0 --- .......~- ~ .-1 :I:-n rnp -om ..od _.I.... "1 00 :;:'11 -r:-~ (5-:.1.1 "., ( ) grn >': ~ (J1 - .. and w r,.j Mark K. Emery, Esquire (Attorney for Plaintiff and Counterclaim Defendant) You are hereby notified to file a written response to the enclosed Defendants' New Matter and Counterclaim Plaintiff s Counterclaim within twenty (20) days from service hereof or a judgment may be entered against you. SNELBAKER & BRENNEMAN, P.C. 1 'c copy FROM REcd't1iO ~ Esquire l~! TB: .. ny WMraof. I hare unto sM "'Y hM\O 44 West Main Street ,j t e seal of S(ild Coo ;U Cart&sIe. PI.. !: P.O. Box 318 I ni . ,- .d .. ~ ('lO Mechanicsburg, P A 17055-0318 (717) 697-8528 Attorneys for Defendants and Counterclaim Plaintiff LAW OFFICES JOHN R. DRUSCHEL AND ASSOCIATES, LLC, IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYL VANIA Plaintiff DOCKET NO: 05-3496 vs. JURY TRIAL REQUESTED DEANA DAVIS, DAVID FURLINE, AND THE IV LEAGUE LLC CIVIL ACTION AT LAW Defendants DEFENDANTS' ANSWER TO AMENDED COMPLAINT WITH NEW MATTER AND COUNTERCLAIM ANSWER AND NOW, come the Defendants by their attorneys, Snelbaker & Brenneman, P.c., and respond to the Plaintiffs Amended Complaint as follows: 1. Admitted. 2. All averments in paragraph 2 are admitted except the status of Deana Davis as a defendant. For the reasons hereinafter set forth, it is denied that Deana Davis has been properly named as a defendant, said averment being scandalous and impertinent and should be stricken. 3. The averments in paragraph 3 are admitted as stated. If Plaintiff intends by such identification to characterize David Furline as a defendant, it is denied for all the reasons set forth hereinbelow, that he has been properly named as a defendant, said averment being scandalous and impertinent and should be stricken. 4. Admitted. 5. Admitted. LAW OFFICES SNELBAKER & BRENNEMAN. P.C. 6. Admitted except to the characterization of Davis and Furline being defendants. For all the reasons set forth hereinbelow, it is denied that Davis and Furline have been properly named as defendants, said averment being scandalous and impertinent and should be stricken. 7. Admitted except to the characterization of Davis and Furline being defendants. For all the reasons set forth hereinbelow, it is denied that Davis and Furline have been properly named as defendants, said averment being scandalous and impertinent and should be stricken. 8. It is admitted that no written contract was made by the parties. It is denied that there were no specific terms as to when payments would be made to Davis and Furline. On the contrary, on Plaintiffs proposal, the parties agreed that Plaintiff would pay for the services two (2) times per month in full. 9. It is admitted that only for payment timing and cash flow purposes, it was agreed that Plaintiff would pay Davis and Furline for their services after Plaintiff received payment from the pharmacy supply service, but it is denied that Plaintiffs liability to Davis and Furline was conditioned on Plaintiffs receipt of payment from such pharmacy supply service. On the contrary, Plaintiff was obligated to pay Davis and Furline for their services regardless of Plaintiff's recovery of monies from the pharmacy service. By way of further response, it is averred that on Plaintiff's proposal, the parties agreed that such payments would be made two (2) times per month in full. 10. Admitted. By way of further response, it is averred that contemporaneously with the formation of The IV League LLC the parties mutually cancelled Davis' and Furline's relationship as individuals and substituted said new limited liability company for said LAW OFFICES SNELBAKER & BRENNEMAN. P.C. individuals, all other terms of their contract remaining the same. 2 11. It is admitted that payments from Plaintiff to The IV League LLC became in arrears. After reasonable investigation, Defendants are without knowledge or information sufficient to form a belief as to the truth of the averment that said arrearage situation was based partially upon late payments from various general pharmacy supply companies and, therefore, it is deemed to be denied pursuant to Pa. R.C.P. 1029 (c), proof of which is demanded at the trial of the case, if relevant. By way of further response, it is averred that Plaintiff breached the parties' contract by failing to pay for the Defendant's services in full. 12. It is denied that the parties entered into the agreement as alleged in paragraph] 2. On the contrary, it is averred that Plaintiff unilaterally promised payment of all outstanding balances by June 30, 2005, which promise Plaintiff failed to keep. ] 3. It is denied that Defendants made the contact as alleged. On the contrary, it is averred that The IV League LLC made such contact, the substantive content of the contact being as contained in paragraph 13. It is denied that said contact was made "unbeknownst to Plaintiff'. On the contrary, it is averred that after numerous unsuccessful attempts to obtain payment from Plaintiff, Defendant The IV League LLC contemporaneously with its contact with OmniCare Pharmacy of Pennsylvania ("OmniCare"), gave notice to Plaintiff containing the same content. 14. It is denied that the intent of the contact with OmniCare was an attempt to usurp the contractual relationship between Plaintiff and OmniCare. On the contrary, the sole purpose and intent of such contact was to advise OmniCare of The IV League LLC's intent to discontinue its services in a good faith effort to discharge its ethical responsibility to OmniCare and Plaintiff in order that other services could be arranged for OmniCare's clients in a timely manner. LAW OFFICES SNELBAKER & BRENNEMAN. P.C. 15. It is denied that the Defendants usurped any contract between OmniCare and Plaintiff or interfered with any such contractual relationship. On the contrary, for reasons 3 beyond Defendants' actual knowledge, OmniCare and Plaintiff terminated their business relationship whereupon OmniCare agreed to have The IV League LLC perform the required services. It is denied that Davis and Furline individually have a contractual relationship with OmniCare. On the contrary, only The IV League LLC has provided services for/to OmniCare. 16. It is denied that Defendants' action was calculated to create a distrust and concern in order to induce OmniCare to terminate its contract with Plaintiff and reestablish such contract with Defendants. On the contrary, it was The IV League LLC's action to advise OmniCare of its intention to discontinue its services in a good faith effort to discharge its ethical responsibility to OmniCare and Plaintiff in order that other services could be arranged for OmniCare's clients 111 a timely manner. 17. It is denied that Furline was a subcontractor of Plaintiff in June 2005. On the contrary, as averred in paragraph 10 above, The IV League LLC became the subcontractor of Plaintiff in August 2004. It is further denied that Furline made the alleged statements for any improper purpose. On the contrary, and again as averred hereinabove, The IV League LLC via Furline gave good faith notice to one of its service recipients that it would be terminating its services because The IV League LLC was not being paid by Plaintiff who blamed the non- payment on Millenniums' failure to pay Plaintiff. 18. It is denied that Furline's comments were made to induce the nursing home to deal directly with The IV League LLC rather than Millennium. On the contrary, The IV League LLC's comments via Furline were made to give timely notice to the nursing home to obtain substitute services upon The IV League LLC's discontinuance of service through Plaintiff. LAW OFFICES SNELBAKER IX BRENNEMAN. P.C. 19. After reasonable investigation, Defendants are without knowledge or information sufficient to form a belief that "Millennium Pharmacy Services utilizes Plaintiff to provided [sic J 4 LAW OFFICES SNELBAKER & BRENNEMAN. P.C. such services" and, therefore, the same is deemed to be denied pursuant to Pa. R.C.P. 1029 (c), proof of which is demanded at the trial of the case, if relevant. 20. It is denied that Furline's comments were made in his individual capacity. On the contrary, such comments were made solely as a member or representative of The IV League LLC. 21. It is denied that Defendants' conduct was meant to induce Millennium Pharmacy Services and/or the nursing home to contract directly with Defendants rather than through Plaintiff. On the contrary, as averred above, it was The IV League LLC's good faith purpose to infOlm the nursing home of The IV League LLC's impending termination of services in order for the home to arrange for substitute services. 22. After reasonable investigation, Defendants are without knowledge or information sufficient to form a belief as to the truth of the averments that Millennium Pharmacy Services cancelled its contract with Plaintiff, and, if true, that such cancellation was "due to defendants' actions" and, therefore, the same are deemed to be denied pursuant to Pa. R.C.P. ] 029 (c), proof of which is demanded at the trial of the case, if relevant. It is denied that Millennium Pharmacy Services now contracts directly with Defendants. On the contrary, none of the persons/entities identified as a Defendant herein has any contractual relationship with Millennium Pharmacy Services. 5 COUNTl 23. The responses contained in paragraphs I through 22 hereinabove are incorporated herein by reference thereto as though fully set forth herein. 24. The content of paragraph 24 is a series of conclusions of law to which no response is required and, therefore, are deemed to be denied. To the extent that said content is determined to be factual, Defendants, after reasonable investigation, are without knowledge or information sufficient to form a belief as to the truth of the statements and, therefore, are deemed to be denied pursuant to Pa. R.C.P. 1029 (c), proof of which is demanded at the trial of the case. if relevant. 25. The content of paragraph 25 is a series of conclusions of law to which no response is required and, therefore, are deemed to be denied. It is specifically denied that Defendants' alleged actions were not performed to harm Plaintiff nor to usurp contracts in order to obtain the contracts for the account of The IV League LLC or anyone else. On the contrary, it was Defendants' purpose to alert interested persons/entities of the discontinuance of The IV League LLC's services because of Plaintiffs defalcation in properly paying The IV League LLC in order that such persons/entities could make arrangements for substitute services in a timely manner. 26. After reasonable investigation, Defendants are without knowledge or information sufficient to form a belief as to the truth of the averments that Plaintiff has suffered actual damages and/or profits generated through the alleged loss of contracts with OmniCare and LAW OFFICES SNELBAKER & BRENNEMAN, P.C. Millennium and, therefore, said averments are deemed to be denied pursuant to Pa. R.C.P. 1029 (c), proof of which is demanded at the trial of the case, if relevant. 6 WHEREFORE, Defendants request the Court to dismiss Plaintiff's Complaint and enter judgment in favor of Defendants and against Plaintiff. NEW MATTER By way of further response and defense, Defendants aver the following New Matter: 27. No contract exists whereby any Defendant is restricted or prevented from competing with Plaintiff. 28. Under the original contractual terms, Davis and Furline, as individuals, were separate subcontractors of and with Plaintiff. 29. Upon the formation of The IV League LLC on or about August 20, 2004, and by agreement of all parties, Davis and Furline as individuals ceased being subcontractors of and with Plaintiff, and The IV League LLC became the sole subcontractor in substitution for said individuals. 30. Plaintiff as improperly joined David and Furline as defendants. 31. Plaintiff and Defendant The IV League LLC agreed (as did the previous individual subcontractors) that Plaintiff would pay The IV League LLC for its services in full two (2) times per month pursuant to billings from The IV League LLC. 32. Attached hereto marked "Exhibit A" and incorporated herein by reference thereto is a tabulation of amounts billed by The IV League LLC for services rendered to OmniCare and Plaintiff s payments on account thereof. LAW OFFICES SNELBAKER & BRENNEMAN. P.C. 33. Beginning in September of 2004, Plaintiff began to fail to pay two (2) times per month as agreed and failed to remit payment in full at any time thereafter. 34. Plaintiff's last payment to The IV League LLC was on May 25, 2005. 7 35. The unpaid balance owing by Plaintiffto The IV League LLC on the OmniCare account is $74,045.00. 36. Attached hereto marked "Exhibit B" and incorporated herein by reference thereto is a tabulation of amounts billed by The IV League LLC to Plaintiff for services rendered to Millennium and Plaintiff's payments on account thereof. 37. Beginning in February 2005, Plaintiff began to fail to pay two (2) times per month as agreed and failed to remit payment in full at any time thereafter. 38. Plaintiff's last payment to The IV League LLC was on June 30, 2005. 39. The unpaid balance owing by Plaintiff to The IV League LLC on the Millennium account is $10,805.00. 40. Upon information and belief, it is averred that OmniCare and Millennium paid Plaintiff for all amounts billed to Plaintiff as shown on Exhibits A and B. 41. Before making the contacts averred in paragraphs 42 and 43 hereinbelow, The IV League LLC made repeated efforts to discuss with Plaintiff the Plaintiff's defaults, leaving numerous telephone messages, to which Plaintiff made no responses thereby indicating its intention to not pay The IV League LLC in breach of the parties' agreement. 42. The IV League LLC's contact with OmniCare in June 2005 was for the sole urpose of informing OmniCare that The IV League LLC was intending to terminate its services LAW OFFICES SNELBAKER & BRENNEMAN. P.c. o OmniCare clients in order that OmniCare could make timely arrangements for substitute 43. The IV League LLC's contacts with a nursing home client of Millennium in July 005 was for the sole purpose of informing the nursing home that The IV League LLC was 8 LAW OFFICES SNELBAKER & BRENNEMAN, p,c. intending to terminate its services in order that said nursing home could make timely arrangements for substitute services. 44. In making the contacts averred in paragraphs 42 and 43 above, The IV League LLC was motivated solely by moral and/or ethical concern for the medical welfare of the patients otherwise anticipated to be served. 45. Upon information and belief, it is averred that Plaintiff voluntarily cancelled its contract with OmniCare for those customers served by The IV League LLC. 46. All of Defendants' conduct was privileged and justified. 47. Plaintiffs Amended Complaint fails to set forth any claim or cause of action upon which relief may be granted. 48. Plaintiff s Amended Complaint should be stricken for failure to comply with Pa. R.C.P. 1021 (c). WHEREFORE, Defendants request the Court to dismiss Plaintiffs Complaint and enter judgment in favor of Defendants and against Plaintiff. COUNTERCLAIM THE IV LEAGUE LLC V. JOHN R. DRUSCHEL AND ASSOCIATES, L.L.c. COUNT I - CONTRACT 49. The Counterclaim Plaintiff herein is IV League LLC, a Pennsylvania limited liability company, having its principal office and place of business at 524 Chaparral Drive, Cranberry Township, Pennsylvania 16066. 9 LAW OFFICES SNELBAKER & BRENNEMAN. P.C. II 50. The Counterclaim Defendant herein is John R. Druschel and Associates, L.L.c., a Pennsylvania limited liability company having its principal place of business at 3901 Chestnut Street, Camp Hill (Hampden Township), Cumberland County, Pennsylvania 17011. 51. Counterclaim Plaintiff is in the business of inserting intravenous catheters in patients in nursing homes. 52. Counterclaim Defendant is also in the business of inserting intravenous catheters in patients in nursing homes. 53. On or about August 20, 2004, the parties hereto entered into an oral contract whereby Counterclaim Plaintiff agreed to perform intravenous catheterization services to various nursing homes or other similar facilities in western Pennsylvania on behalf of Counterclaim Defendant, the relevant terms of which were/are as follows: A. Counterclaim Plaintiff would provide its services as a subcontractor (independent contractor) to Counterclaim Defendant. B. Counterclaim Defendant promised to pay to Counterclaim Plaintiff for said services on a unit basis fee per procedure as follows: Procedure/Service Midline Catheter Midline Catheter Basic IV PICC Line Advance Visit Fee per Procedure $120.00 for first 100 per calendar month $115.00 for next 100 (101-200) per calendar month $75.00 $285.00 $150.00 The amount due to be determined from Counterclaim Plaintiff s submission of itemized billings therefor to Counterclaim Defendant two (2) times per month. Payment in full was to be made by Counterclaim Defendant for each such billing two (2) times per month. 10 54. Counterclaim Plaintiffs first services were for patients of Omnicare Pharmacy Services of Pennsylvania ("Omnicare") (a client of Counterclaim Defendant). 55. In keeping with the parties' contract aforesaid, Counterclaim Plaintiff submitted its periodic billings to Counterclaim Defendant for services to OmniCare patients as set forth in detail under the headings of "Billing Date" and Billing Amount" on the attached statement of account marked "Exhibit A" and incorporated herein by reference thereto. Counterclaim Defendant paid the amounts shown on Exhibit A under the headings of "Payment Date" and "Payment Amount". 56. As charted on Exhibit A, Counterclaim Defendant neglected and failed to pay Counterclaim Plaintiff in accordance with the parties' contract as aforesaid, leaving an unpaid balance of $74,045.00 due Counterclaim Plaintiff. 57. Commencing on or about February 1,2005, at Counterclaim Defendant's rc:quest, the parties agreed to expand the services of Counterclaim Plaintiff to include facilities served by Millennium Pharmacy Services ("Millennium") (another client of Counterclaim Defendant) on the same general terms as the parties' original contract aforesaid, but using the following fee rates per procedure: Procedure/Service Midline Catheter Basic IV PICC Line Advance Visit Fee per Procedure $150.00 $100.00 $285.00 $150.00 58. In keeping with the parties' contract aforesaid, Counterclaim Plaintiff submitted LAW OFFICES SNELBAKER & BRENNEMAN. P.C. its periodic billings to Counterclaim Defendant for services to Millennium patients as set forth in detail under the headings of "Billing Date" and "Billing Amount" on the attached statement of account marked "Exhibit B" and incorporated herein by reference thereto. Counterclaim 11 Defendant paid the amounts shown on Exhibit B under the headings of "Payment Date" and "Payment Amount". 59. As charted on Exhibit B, Counterclaim Defendant neglected and failed to pay Counterclaim Plaintiff in accordance with the parties' contract as aforesaid, leaving an unpaid balance of $1 0,805.00 due Counterclaim Plaintiff. 60. Counterclaim Plaintiff has demanded payment from Counterclaim Defendant, which Counterclaim Defendant has failed and refused to pay. 61. The amount due Counterclaim Plaintiff is the sum of the "Unpaid Balances" from Exhibit A and Exhibit B, in the total amount of $84,850.00. WHEREFORE, Counterclaim Plaintiff demands judgment against Counterclaim Defendant in the amount of $84,850.00 plus interest and the costs of this action. The damages claimed by Counterclaim Plaintiff exceed the amount established by this Court for compulsory arbitration. AL TERNA TIVE: COUNT II - QUANTUM MERUIT In the event it is determined that no express contractual basis existed in fact or law as alleged in Count I above, Counterclaim Plaintiff avers in the alternative as follows: 62. The averments contained in paragraphs 49 through 61 hereinabove are incorporated herein as though set forth at length hereinbelow. 63. Counterclaim Defendant accepted Counterclaim Plaintiff s services and work. 64. Counterclaim Plaintiffs services and work fulfilled Counterclaim Defendant's LAW OFFICES SNELBAKER & BRENNEMAN. P.c. obligations to OmniCare and Millennium. 12 65. The fair market value of Counterclaim Plaintiff s services and work performed at Counterclaim Defendant's request are the values set forth in paragraphs 53 and 57 hereinabove and as totaled on Exhibit A and Exhibit B attached hereto, all of which are incorporated herein by reference thereto. 66. Counterclaim Defendant has failed and refused to pay the fair market value of said services and work performed by Counterclaim Plaintiff as aforesaid. 67. It is unjust and unfair for Counterclaim Defendant to receive, use and consume the values of Counterclaim Plaintiffs services and work without full payment therefor. WHEREFORE, Counterclaim Plaintiff demands judgment against Counterclaim Defendant in the amount of$84.850.00 plus interest and the costs of this action. The damages claimed by Counterclaim Plaintiff exceed the amount established by this COUl1 for compulsory arbitration. SNELBAKER & BRENNEMAN, P.C. By &~SqUire Pa. Supreme Ct. J.D. #: 06355 44 West Main Street P.O. Box 318 Mechanicsburg, P A 17055-0318 (717) 697-8528 Attorneys for Defendants and Counterclaim Plaintiff LAW OFFICES SNELBAKER & BRENNEMAN. P.C. 13 BILLING BILLING PAYMENT PAYMENT UNPAID DATE AMOUNT DATE AMOUNT BALANCE 9/1/04 - 9/15/04 9,965.00 9,965.00 9/16/04 - 9/30/04 8,020.00 17,985.00 10/1/04 - 10/15/04 11,910.00 29,895.00 10/15/04 8,000.00 21,895.00 10/16/04 - 10/31/04 12,000.00 33,895.00 10/26/04 1,965.00 31,930.00 1 0/30/04 8,020.00 23,910.00 11/1/04 -11/15/04 9,070.00 32,980.00 11 /1 5/04 12,000.00 20,980.00 11/16/04 - 11/30/04 12,695.00 33,675.00 12/1/04 - 12/15/04 12,290.00 45,965.00 12/17/04 11,910.00 34,055.00 12/16/04- 12/31/04 16,695.00 50,750.00 1/1/05 - 1/15/05 13,805.00 64,555.00 1/8/05 9,070.00 55,485.00 1/16/05 - 1/31/05 13,925.00 69,410.00 1/25/05 12,695.00 56,715.00 2/1/05 - 2/15/05 15,980.00 72,695.00 2/16/05 - 2/28/05 13,670.00 86,365.00 2/16/05 12,290.00 74,075.00 3/1/05 - 3/15/05 11,715.00 85,790.00 3/16/05 - 3/31/05 11,405.00 97,195.00 3/17/05 18,000.00 79,195.00 4/1/05 - 4/15/05 13,315.00 92,510.00 4/11/05 27,000.00 65,510.00 4/14/05 10,760.00 54,750.00 4/16/05 - 4/30/05 12,175.00 66,925.00 5/1/05 - 5/10/05 6,445.00 73,370.00 5/11/05 - 5/20/05 6,655.00 80,025.00 5/12/05 13,315.00 66,710.00 5/21/05 - 5/31/05 7,310.00 74,020.00 5/25/05 13,670.00 60,350.00 6/1/05 - 6/10/05 6,735.00 67,085.00 6/11/05 - 6/20/05 6,960.00 74,045.00 TOTALS 232,740.00 158,695.00 74,045.00 EXHIEIT A BILLING BILLING PAYMENT PAYMENT UNPAID DATE AMOUNT DATE AMOUNT BALANCE 2/1/05 - 2/15/05 1,600.00 1,600.00 2/16/05 - 2/28/05 1,100.00 2,700.00 3/1/05 - 3/15/05 1,800.00 4,500.00 3/16/05 - 3/31/05 3,250.00 7,750.00 4/1/05 - 4/15/05 1,950.00 9,700.00 4/5/05 1,525.00 8,175.00 4/14/05 1,800.00 6,375.00 4/16/05 - 4/30/05 3,075.00 9,450.00 4/28/05 1,175.00 8,275.00 5/1/05 - 5/15/05 1,950.00 10,225.00 5/10/05 3,880.00 6,345.00 5/16/05 - 5/31/05 2,300.00 8,645.00 5/22/05 640.00 8,005.00 6/1/05 - 6/15/05 3,250.00 11,255.00 6/13/05 3,000.00 8,255.00 6/16/05 - 6/30/05 2,750.00 11,005.00 6/30/05 2,500.00 8,505.00 7/1/05 - 7/11/05 2,30000 10,805.00 TOTALS 25,325.00 14,520.00 10,805.00 EXHIBIT B LAW OFFICES SNELBAKER & BRENNEMAN. P.C. VERIFICATION I, Deana Davis, do hereby verify as follows: that I am a named Defendant in the foregoing Answer with New Matter and Counterclaim; that the facts contained in said document within my personal knowledge are true and correct; that the facts contained in said document not within my personal knowledge, I believe them to be true and correct based upon the information of others; and that I understand that any false statements made herein are subject to the penalties of 18 P A c.s. 94904 relating to unsworn falsification to authorities. ~Jl> Deana Davis Dated: August /.5 , 2005 LAW OFFICES SNEL8AKER & BRENNEMAN. P.C. VERIFICATION I, David Furline, do hereby verify as follows: that I am a named Defendant in the foregoing Answer with New Matter and Counterclaim; that the facts contained in said document within my personal knowledge are true and correct; that the facts contained in said document not within my personal knowledge, I believe them to be true and correct based upon the information of others; and that I understand that any false statements made herein are subject to the penalties of 18 P A c.s. S4904 relating to unsworn falsification to authorities. (jJewJ~ David Furline Dated; August / S ' 2005 LAW OFFICES SNELBAKER & BRENNEMAN, P.C. VERIFICATION I, Deana Davis, do hereby verify as follows: that I am a member of The IV League, LLC, a limited liability company, which company is a Defendant and the Counterclaim Plaintiff in the foregoing Answer with New Matter and Counterclaim; that I am authorized to make this verification on behalf of said Defendant and Counterclaim Plaintiff; that the facts contained in said document within my personal knowledge are true and correct; that the facts contained in said document not within my personal knowledge, I believe them to be true and correct based upon the information of others; and that I understand that any false statements made herein are subject to the penalties of 18 P A C.S. S4904 relating to unsworn f::,lsificatwn to authorities. ~~ (j~) Deana Davis Dated: August / S' , 2005 CERTIFICA TE OF SERVICE I hereby certify that I am this date serving a true and correct copy of the within Defendants' Answer to Amended Complaint with New Matter and Counterclaim by sending the same by first-class mail, postage paid, to the attorney for Plaintiff addressed as follows: Mark K. Emery, Esquire Law Offices of Mark K. Emery 410 North Second Street Harrisburg, P A 171 0 1 R ard C. Snelbaker, Esquire Snelbaker & Brenneman, P.c. 44 West Main Street P.O. Box 318 Mechanicsburg, P A 17055-0318 Attorneys for Defendants Dated: August 15, 2005 LAW OFFICES SNELBAKER & BRENNEMAN. P.c. -' John R. Druschel and Associates, LLC, Plaintiff : IN THE COURT OF COMIvl0N PLEA$ : OF CUMBERLAND COUNTY .. r--> C':;:"! (=.:. -;':..1'1 vs _ : DOCKET NO. 05-3496 Deana Davis, David Furline, and The IV League, LLC, Defendants : JURY TRIAL REQUESTED : CIVIL ACTION AT LAW , --{ PLAINTIFF'S ANSWER TO NEW MATTER AND COUNTERCLAIMS AND NOW, comes the Plaintiff, by and through its attorney, mark K Emery, Esquire, and files this Answer to New Matter and Counterclaims, as follows: 27. Admitted. It is admitted that no written contract exists which includes a restricted covenant. Lack of a written contract including such a restricted covenant does not vitiate Plaintiff's rights at common law to protect the contractual relationship between it and its clientele. 28. Admitted. 29. Admitted. 30. Denied as a legal conclusion. 31. Denied. It is specifically denied that Plaintiff agreed to pay any Defendant two times per month pursuant to billings from Defendants. 32. Denied. Paragraph 32 refers to a writing which speaks for itself and is therefore denied. :3:3. Denied. It is denied that the parties agreed that payments would be made two times per month. Therefore, Plaintiff was not required to make payments on such terms. 'l ~f1 c=' r --< (~1 ~~ -:-:: ]2~ N . , :-:-""*"l , ,. c= ;"-) :-;:1 .< (,... ; 34. Admitted. It is admitted that the last payment on the Omni Care account was made on May 25, 2005. By way of further response Plaintiff and the Defendants had an agreement in which Defendants agreed and acknowledged that they would be paid in full by June 30, 2005. Prior to the date such payment was going to made Defendants tortuously interfered with Plaintiff s contractual relationships and therefore forfeited their right to such payment. 35. Denied as a conclusion of law. 36. Denied. Paragraph 36 refers to a writing which speaks for itself and is therefore denied. 37. Denied. It is denied that the parties agreed that Defendant would be paid two times per month. 38. Admitted. 39. Denied as a conclusion oflaw. 40. Admitted. It is admitted that Omni Care and Millennium eventually made payments to Plaintiff for all amounts that Defendants invoiced. The full payments were made after June 30,2005. 41. Denied. It is specifically denied that Defendants made attempts to discuss the payments due them. It is further specifically denied that Plaintiff provided no response. On the contrary, Plaintiff and Defendants had reached an agreement where Defendants would be paid in full by June 30, 2005, and Defendants accepted such terms. 42. Denied. Upon information and belief Defendants' contact with Omni Care in June 2005 was for the sole purpose of attempting to usurp Plaintiff's contract with Ornni Care. By way of further response, Defendants had no contractual relationship with Omni Care or the treatment facilities. There is no reason to make any such contacts or for Defendants to believe that either Plaintiff or Ornni Care, had not, and/or would not, have in place substitute services. Further, Plaintiff was the actual provider of the services' to the treatment facilities, not Defendants, and therefore Defendants' refusal to provide services after June 2005 would have had no impact on the treatment services as Plaintiff would have none the less provided such services had Defendants refused to do so. 43. Denied. Upon information and belief Defendants' contact with Millennium in June 2005 was for the sole purpose of attempting to usurp Plaintiff's contract with Millennium. By way of further response, Defendants had no contractual relationship with Millennium or the treatment facilities. There is no reason to make any such contacts or for Defendants to believe that either Plaintiff or Millennium had not, and/or would not, have in place substitute services. Further, Plaintiff was the actual provider of the services to the treatment facilities, not Defendants, and therefore Defendants' refusal to provide services after June 2005 would have had no impact on the treatment services as Plaintiff would have none the less provided such services had Defendants refused to do so. 44. Denied. It is specifically denied that Defendants motivation was for moral and/or ethical concerns. Such self-serving statements attempt to obscure the fact that there'would have been no break in treatment or services had Defendants refused to provide services after June 2005 as either Plaintiff and/or Millennium and/or Omni Care would have been able to provide such services on their own. 45. Denied. 46. Denied as a conclusion oflaw. 47. Denied as a conclusion oflaw. 48. Denied as a conclusion oflaw. By way of further response, such argument may be raised solely by preliminary objections, which Defendants have not done, and therefore such claim is waived. COUNTERCLAIM THE IV LEAGUE LLC v. JOHN R. DRUSCHEL AND ASSOCIATES. LLC COUNT I CASH CONTRACTS 49. Admitted upon infonnation and belief 50. Admitted. 51. Admitted. 52. Admitted. 53. Admitted. a. Admitted b. Admitted in part, denied in part. It is admitted that the fee per procedure is correct. It is specifically denied that Counterclaim Plaintiffs were going to be paid two times per month. 54. Admitted. 55. Admitted. It is admitted that Counterclaim Plaintiffs submitted periodic billings for .. services to Omni Care and Counterclaim Defendant made payments when Omni Care paid for the invoices submitted by Counterclaim Plaintiff 56. Denied. Paragraph 56 is denied to the extent that it refers an Exhibit "A" as such exhibit is a writing which speaks for itself and it is therefore denied. 57. Denied. Paragraph 57 refers to a writing which speaks for itself and is therefore denied. By way of further response, it is specifically denied that the parties agreed that Counterclaim Plaintiff would be paid two times per month. 58. Admitted. It is admitted that Counterclaim Plaintiffs submitted periodic billings for services to Millennium and Counterclaim Defendant made payments when Omni Care paid for the invoices submitted by Counterclaim Plaintiff 59. Denied as a conclusion oflaw. 60. Denied. It is specifically denied that Counterclaim Defendant refused to pay. On the contrary, the parties entered an agreement where Counterclaim Plaintiffs agreed to accept payment in full by June 30, 2005. Prior to such date Counterclaim Plaintiffs tortuously interfered with Counterclaim Defendant's contractual rights with Omni Care and Millennium and therefore forfeited right to payment. 61. Denied as a conclusion oflaw. WHEREFORE, Counterclaim Defendant respectfully requests this Honorable Court enter judgement for it and against Counterclaim Plaintiffs. COUNT II QUANTUM MERillT 62. Paragraphs 27 through 61 are incorporated fully herein by reference. 63. Admitted. 64. Admitted. 65. Admitted. 66. Denied as conclusion of law. By way of further response, it is specifically denied that Counterclaim Defendants failure to pay is unjust and unfair, as the amount allegedly due is far less than the damages sustained by Counterclaim Defendant for counterclaim Plaintiff's tortious acts. WHEREFORE, Counter Claim Defendant respectfully requests this Honorable Court enter judgement for, in and against Counter Claim Plaintiffs. Respectfully submitted, LAW OFFICES OFMARKK. ENlERY DATE: 10-7-0 l) By: ~~:7/ ~~ Mark K. Emery, EsqUIre . Supreme Court I.D. No. 72787 410 North Second Street Harrisburg, P A 17101 (717) 238-9883 Attorney for Plaintiff VERI FICA TION I, Janice Druschel, as the personal representative of the Estate of John R. Drushel, hereby verify that I have read the foregoing Answer to New Matter and Counterclaims and that the information contained therein is true and correct to the best of my knowledge, information and belief. I understand that false statements herein are subject to the penalties of 18 Pa. C. S. S 4904 relating to unsworn falsification to authorities. ~;4U./'J-/ Jj- UJA":../J.._LJ. Janice Druschel DATE: /0- 7 .o~ CERTIFICA TE OF SERVICE AND NOW, I, Mark K. Emery, Esquire do hereby certify that Plaintiff's Answer - to New Matter and Counterclaims was served upon Defendants on October 7,2005 by mailing a true and correct copy via United States fIrst class mail, addressed as follows: Richard e. Snelbaker, Esquire SneIbaker & Brenneman, P.e. 44 West Main Street P.O. Box 318 Mechanicsburg, P A 17055-0318 Respectfully submitted, LAW OFFICES OF MARK K. EMERY By: ~~ Mark K. Emery, Esquire Supreme Court LD. No. 72787 410 North Second Street Harrisburg, PAl 71 0 1 (717) 238-9883 Attorney for Plaintiff - REV-1511 EX+ (12-99)* COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS ESTATE OF JOHN R. ORUSCHEL FILE NUMBER 21-05-0777 Debts of decedent must be reported on Schedule I. ITEM NUMBER A. DESCRIPTION AMOUNT 1. FUNERAL EXPENSES: BARNHARTFUNERALHOME,GREENSBURG,PA 6,234.82 B. ADMINISTRATIVE COSTS: 1. Personal Representative's Commissions 0.00 Name of Personal Representative(s) Social Security Number(s)/EIN Number of Personal Representative(s) Street Address City State Zip Year(s) Commission Paid: 2. Attorney Fees 0.00 3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) 3,500.00 Claimant Janice Jean Oruschel Street Address 3901 Chestnut Street City Camp Hill State PA .Zip 17011 Relationship of Claimant to Decedent SPOUSE 4. Probate Fees 128.00 5. Accountant's Fees 0.00 6. Tax Return Preparer's Fees 0.00 7. Newspaper Notices 214.94 TOTAL (Also enter on line 9, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) 10,077.76