Rule 4 34-CVL The Insolvency Act 1986 Form 4 20 S.95|99 STATEMENT OF COMPANY'S AFFAIRS Pursuant to Section 95/99 of the Insolvency Act 1986 For official use Company Number 01606854 To the Registrar of Companies Company Number [ HEATHERISE LIMITED (Insert full name(s) and address(es)] |, J M Titley of Leonard Curtis, Hollins Mount, Hollins Lane, Bury BL9 8DG, the Joint Liquidator of the above named Company, attach a statement of the Company's affairs as at 12 March 2015 a Signed Cot Date 12 March 2015 Presentor's name, address and reference (if any) = For official use RUN Leonard Curtis COMPANIES HOUSE Rule 4 34-CVL Form 4 19 Statement of Affairs Statement as to affairs of HEATHERISE LIMITED on the 12 March 2015 being a date not more than 14 days before the date of the resolution for winding up Statement of truth | believe that the facts stated in this Statement of Affairs are true Full name Ar lanbe weet. vie te ee ees Signed Dated | 9- ,O3 QOUK CVLMF419 06-04-10 HEATHERISE LIMITED T/A DOLCE VITA RISTORANTE & ZIO RISTORANTE APPENDIX! DIRECTOR'S ESTIMATED STATEMENT OF AFFAIRS AS AT 12 MARCH 2015 Book value Estimated to Realise Note £ £ £ £ Assets Specifically Pledged None 1 Nil Nil less The Royal Bank of Scotland Pic 4 (23,752 (23,752) Surplus / (Shortfall) c/fwd (23,752) (23,752) Assets Not Specifically Pledged Fixtures / Fittings & Equipment 2 23,193 9,277 Stock 2 1,800 4,000 Cash in Hand 2 97 97 Leasehold improvements 2 60,216 Uncertain 85,306 40,374 Preferential Creditors Employee Claims / ERA 2006 Claims (est ) 3 (Nil) (Nth Net Property avallable for Prescribed Part* 85,306 40,374 Less’ Prescnbed Part 4 (Nil) (Ni) Available for Floating Charge Creditor 85,306 10,374 Shortfall b/fwd, - RBS (23,752) (23,752) Surplus / (Shortfall) cffwd - RBS 61,554 (13,378) Add Prescribed Part 4 Nia Nia Available for Ordinary Unsecured Creditors 61,554 Nil Ordinary Unsecured creditors Surplus / (Shortfall) b/fwd - RBS (Nil) (13,378) Employee Claims / ERA 2006 Claims (est ) 3 (Nal) (Nil) HM Revenue & Customs - PAYE / NI (est } 5 (15,248) (15,248) HM Revenue & Customs - VAT {est} 5 (25,564) (25,564) Directors’ Loans / Connected Creditors (est ) 6 (98,000) (98,000) Trade and Expense Creditors (est ) 7 (6,265) (6,265) Total Ordinary Unsecured Creditors (145,932) (158,455) Estimated Deficiency as regards Creditors (84,378) (158,455) Issued share capital (100) (100) Estimated Deficiency as regards Members (84,478) (158,555) Signed 12 March 2015 Mr Gigdcarlo Bacci B - Company Creditors H751Q Heatherise Limited Code Name & Address Amount of Debt C0001 B& § Balmer And Sons 361 00 Lane House Dairy Lane House Farm Nelson Road Brerciiffe Burnley BB10 3QE C0002 United Utillues 1,786 00 Haweswater House Lingley Mere Business Park Lingley Green Avenue Great Sankey Warrington WAS 3LP C0003 Borough of Pendle 4,338 00 Treasury Services Number 1 Market Street Nelson Lancashire BBO 7LJ C0004 HMRC PAYE / NIC 15,248 00 Ty Glas Road Uanishen Cardiff CF4 §ZG C0005 HMRC VAT 25,564 00 Alexander House 21 Victoria Avenue South End On Sea $S99 1BF C0006 RBS Loan 23,752 00 The Royal Sank of Scotland East Side, First Floor The Younger Building 3 Redheughs Avenue Edinourgh EH12 9RB C0007 RBS Overdraft 1,050 00 The Royal Bank of Scotland East Side, First Floor The Younger Building 3 Redheughs Avenue Edinburgh EH12 9RB co00s Giancarlo Bacci 98,000 00 4 Norford Way Bamford Rochdale OL11 5QS co009 Worldplay 105 00 Victory House Fifth Avenue Gateshead NE11 OEL Signature Date H751Q Page 1/2 B - Company Creditors HZ51Q Heathense Limited Code Name & Address Amount of Debt C9999 Contract Natural Gas Limited 1,625 00 2 Victona Avenue Harrogate North Yorkshire HG1 1EL - £168,829 00 Signature Date H751Q Page 2/2