Form 4 20 Rule 4 34-CVL The insolvency Act 1986 Statement of Company's 2 9 5 9 9 Affairs Pursuant to Section 95/99 of the Insolvency Act 1986 For official use To the Registrar of Companies bases heceed ceed Company Number 00738106 Name of Company (a) Insert full name of company (a) GAZRILFORK CAFES LIMITED Limited {b) Insert full name(s) We (b) ROBERT DAY and address(es} ROBERT DAY AND COMPANY LIMITED, THE OLD LIBRARY, THE WALK, WINSLOW, BUCKINGHAM MK18 3AJ {c) Insert date the liquidator(s) of the above named company attach a statement of the pany’s afr company's affairsas at (c: ©) 4 DECEMBER 2014 Signed DA Sey Date 4 DECEMBER 2014 Presenters name ROBERT DAY AND COMPANY For Official Use TAA 1 address and reference (if any) LIMITED Liquidation Section - THE OLD LIBRARY THE WALK WINSLOW BUCKINGHAM MK18 3AJ 03/12/2014 COMPANIFS HOUSE © Crown Copynght Reproduced by permission of the Controller of Her Majesty's Stationery Office Published by LexisNexis Butterworths Tolley Rule 4 34-CVL Form 4 19 Statement of Affairs GAZRILFORK CAFES LIMITED Statement as to affairs of Gazrilfork Cafes Limited on the 1 December 2014 the date of the resolution for winding up Statement of Truth |, Chareewan Boonmasuwaran believe that the facts stated in this Statement of Affairs are true. Full Name CHAR EE WAN boon MALU WRAY Signed CQ. Pu Dated /- (2-14 ~ “*A3LYDVKB* 03/12/2014 #82 COMPANIFS HOUSE - Summary of Assets Assets Book Estimated to Value Realise £ £ Assets specifically pledged Nil Assets not specifically pledged Nil Estimated total assets available for preferential creditors None Signature C. L L Date 1 December 2014 ‘Summary of Liabilities Estimated to realise £ Estimated total assets available for preferential creditors (carried from page A) £ None £ — Liabilities Preferential creditors —- Employees —Holiday Pay Estimated deficiency/surplus as regards preferential creditors £ None £ Estimated prescribed part of net property where applicable (to carry forward) N/A Estimated total assets available for floating charge holders £ None £ Debts secured by floating charges - Estimated deficiency/surplus of assets after floating charges £ None Estimated prescribed part of net property where applicable (brought down) £ Total assets available to unsecured creditors £ None £ Unsecured non-preferential claims (excluding any shortfall to floating charge holders) (57,204) Estimated deficiency/surplus as regards non-preferential creditors £ (57,204) (excluding any shortfall to floating charge holders) Shortfall to floating charge holders (brought down) £ Estimated deficiency/surplus as regards creditors £ (57,204) Issued and called up capital £ (2) Estimated total deficiency/surplus as regards members £ (57,204) Signature C) : L ¢ Date 1 December 2014 4 ] 0 } } ajeq aunyeubig 00 9ss'gL AAG BYG WA ‘S91 XOd Od | [UND AID JejsuIUsEAA 00 z66'EL Ovi $271 joodenr] ‘Joos sower ‘asnopy UeIBey Joo]4 WS SWO}sND 9 anueAeY WH ONE LMN UOpudy "peoy 00 o€z'z uo}snz 9gz ‘emo UO}SNZ JOO} pug ‘saUNoS B AOUBAJOSU] SWO}SND Y ENuaAdsY WH $12 ZENN al4ysuc}dweyyonN ueJeMnsewuCog 00 9zP'ZZ ‘49]S90M0] ‘PEOY UOVAPlY ed sseuisng JH ANd ‘IW UL UeMBOIBYD 3 3 uaaib JO}Pald yqap jo (apoaysod yzim) JuewIe|d JO Ayunoas Jo anjea Ayunoas ayeq Aq pjay Ajunoes Aue jo sjeyaq qunowy ssolppy JOPPA JO OWEN uoissessod s Auedwos uy} ul Auedoid JOAO A) JO UONUA}SI BuiWIe|O Sio}pelD pue seolwses Jo spoob jo Ajddns ou} jo eoueApe ul pled sjunowe Guiwiejo suswojsno pue sjugweabe ayes jeuonpucs 20 Bulses] jayeyo ‘eseyoind-auly JapUN ssioypaio AJHUSpP! ue SUONP|JO Ie SpNjour sn NOA :9}0N SJOpaig Auedwog y-#)-| aunjeubig S12 ZLNN SulysuojdweypoN J9}S80MOL peoy uovepiy ed sseuisng {IH Aind Areuipig|00 Z3 z SIEIOL WW UL paywry ploBfauoy] aNieA pley sareys Pley seseys jo syieyeg| jeulwony JO ON (epoajsod yim) sseippy Japjoyaleug jo owen re) ssapjoyaseys Auedwo5 pay] sayeg yOyUZeS)