Rule 4 34-CVL Form 4 20 The Insolvency Act 1986 Statement of Company’s S v . 8 | 5/9 9 Affairs 7 Pursuant to Section 95/99 of the Insolvency Act 1986 To the Registrar of Compantes Company Number 01135243 Name of Company PREMIER HEALTH GROUP LIMITED I/We Asher Miller of David Rubin & Partners | LP Pearl Assurance House 319 Ballards Lane London N12 8LY the Liquidator of the above named company hereby attaches a statement of the Company s affairs as at 26 February 2013 Signed Date Presenter’s name address and For affiews! - - Reference (if any) Liquidation Se David Rubin & Partners LLP Pearl Assurance Howse 319 Ballads Lune #128 London N12 8L} et COMPANIES HOUSE DX 57368 Finchley | Ref ADM/EM/RC/P362 Rule 4 34-CVL Form4 19 Statement of Affairs IN THE MATTER OF THE INSOLVENCY ACT 1986 Name of Company Company Number PREMIER HEALTH GROUP LIMITED 01135243 Statement as to the affairs of “ Premier Health Group Limited of Suite | Second Floor Merritt House Hill Avenue Amersham Buchs HP6 SBOQ Statement of Truth I believe that the facts stated in this statement of affairs and any contmuation sheets are to the best of my knowledge a true statement of the affans of the above-named company as at 26 February 2013 being a date not more than [4 days betore the date of the resolution for winding- up Full Name CoiHaegroPHtest Te ba HrwdsRile w sian oS Jes Date “2G, V/ EWS PREMIER HEALTH GROUP LIMITED ESTIMATED STATEMENT OF AFFAIRS (“ESOA") AS AT 26 FEBRUARY 2013 Book Estimated Notes Value To Realise £ £ ASSETS Third party funds for ESOA fee I 12 000 12,000 ASSETS AVAILABLE TO UNSECURED CREDITORS 12,000 UNSECURED CREDITORS - as per list A attached Trade and expense creditors (11 620 437) DEFICIENCY AS REGARDS CREDITORS CEL 608,437} SHARE CAPITAL Ordinary shares of £0 02 each fully pard Q) DEFICIENCY AS REGARDS CONTRIBUTORIES C11 608 438) NOTES {The fees associated with placing the Company into Liquidation have been paid by a thid patty Signature DateC6] 2/ Les % PREMIER HEAL LH GROUP LIMIEPD ESLIMALED STALE MEN! OF AFFAIRS AS AT 26 FEBRUARY 2013 A-UNSI CURLD CREDITORS NAME ADDRESS AMOUNI Trade and ExpenseCreditors £ Duncan Saville 297 Ocean Drive 11-22 Ocean front @ Sentosa Cove, Singapore 098535 1,858,026 Co-operation Retirement Benefit Fund ([.) 1 td Level 1, Lot 7 Block f, Saguking Commercial Building 9,387 577 Jalan Patau-Patau 87000 Labuan F T ,Mataysia The Premier Trust 4th Floor, Queen Victoria House, Victoria Street, Douglas, IM99 2BJ, Isle of Man 374 834 11,620,437 . ), Signature oS), pled 2 Date Pac | "2/26 { -