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EXHIBIT B
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B6B (Official Form 6B) (12/07)
IN REDebtor(s)
Case No. (If known)
Except as directed below, list all personal property of the debtor of whatever kind. If the debtor has no property in one or more of the categories, place an “x” in theappropriate position in the column labeled “None.” If additional space is needed in any category, attach a separate sheet properly identified with the case name, case number,and the number of the category. If the debtor is married, state whether the husband, wife, both, or the marital community own the property by placing an “H,” “W,” “J,” or“C” in the column labeled “Husband, Wife, Joint, or Community.” If the debtor is an individual or a joint petition is filed, state the amount of any exemptions claimed onlyin Schedule C - Property Claimed as Exempt.
Do not list interests in executory contracts and unexpired leases on this schedule. List them in Schedule G - Executory Contracts and Unexpired Leases.
If the property is being held for the debtor by someone else, state that person’s name and address under “Description and Location of Property.” If the property is beingheld for a minor child, simply state the child's initials and the name and address of the child's parent or guardian, such as "A.B., a minor child, by John Doe, guardian." Donot disclose the child's name. See, 11 U.S.C. §112 and Fed. R. Bankr. P. 1007(m).
TYPE OF PROPERTY
NONE
DESCRIPTION AND LOCATION OF PROPERTY
HU
SBA
ND
,WIF
E,JO
INT,
OR
COM
MU
NIT
Y
CURRENT VALUE OFDEBTOR'S INTEREST IN
PROPERTY WITHOUTDEDUCTING ANY
SECURED CLAIM OREXEMPTION
SCHEDULE B - PERSONAL PROPERTY
Nair, Jayakrishnan K 15-bk-12626
1. Cash on hand. 44.43% Interest in Ratner Bio Medical Inc. Tech startup has 50 3,490,000.00shareholders and company was recently valued to raisefunding.
2. Checking, savings or other financialaccounts, certificates of deposit orshares in banks, savings and loan,thrift, building and loan, andhomestead associations, or creditunions, brokerage houses, orcooperatives.
Bank of America Checking Account ending in 3880 9.64Bank of America Checking account ending in 5575 0.00Bank of America savings account ending in 0058 3.48Chase Checking account ending in 2292 0.00Fidelity Account ending in 1060 149.36Fidelity Account ending in 1905 4.50Home Street Bank checking account ending in 3099 65.83
3. Security deposits with public utilities,telephone companies, landlords, andothers.
X
4. Household goods and furnishings,include audio, video, and computerequipment.
5. Books, pictures and other art objects,antiques, stamp, coin, record, tape,compact disc, and other collections orcollectibles.
X
6. Wearing apparel. Clothes 500.007. Furs and jewelry. X8. Firearms and sports, photographic,
and other hobby equipment.X
9. Interest in insurance policies. Nameinsurance company of each policy anditemize surrender or refund value ofeach.
X
10. Annuities. Itemize and name eachissue.
X
11. Interests in an education IRA asdefined in 26 U.S.C. § 530(b)(1) orunder a qualified State tuition plan asdefined in 26 U.S.C. § 529(b)(1).Give particulars. (File separately therecord(s) of any such interest(s). 11U.S.C. § 521(c).)
X
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Nair, Jayakrishnan K 15-bk-12626
27. Aircraft and accessories. X28. Office equipment, furnishings, and
supplies.X
29. Machinery, fixtures, equipment, andsupplies used in business.
X
30. Inventory. X31. Animals. X32. Crops - growing or harvested. Give
particulars.X
33. Farming equipment and implements. X34. Farm supplies, chemicals, and feed. X35. Other personal property of any kind
not already listed. Itemize.X
B6B (Official Form 6B) (12/07) - Cont.
IN REDebtor(s)
Case No. (If known)
(Continuation Sheet)
TYPE OF PROPERTY
NONE
DESCRIPTION AND LOCATION OF PROPERTY
HU
SBA
ND
,WIF
E,JO
INT,
OR
COM
MU
NIT
Y
CURRENT VALUE OFDEBTOR'S INTEREST IN
PROPERTY WITHOUTDEDUCTING ANY
SECURED CLAIM OREXEMPTION
TOTAL(Include amounts from any continuation sheets attached.
Report total also on Summary of Schedules.) continuation sheets attached
SCHEDULE B - PERSONAL PROPERTY
3,592,204.83
0
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United States Bankruptcy CourtWestern District of Washington
In re Jaykrishnan K. Nair Case No. 15-12626Debtor(s) Chapter 7
AMENDEDDECLARATION CONCERNING DEBTOR'S SCHEDULES
DECLARATION UNDER PENALTY OF PERJURY BY INDIVIDUAL DEBTOR
I declare under penalty of perjury that I have read the foregoing document(s), consisting of 3 page(s),and that they are true and correct to the best of my knowledge, information, and belief.
Date January 27, 2017 Signature /s/ Jaykrishnan K. NairJaykrishnan K. NairDebtor
Penalty for making a false statement or concealing property: Fine of up to $500,000 or imprisonment for up to 5 years or both.18 U.S.C. §§ 152 and 3571.
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