Rule 4.34 Form 4.20 The Insolvency Act 1986 Statement of Company’s Affairs S 2 9 5/9 9 Pursuant to section 95/99 of the Insolvency Act 1986 For Official Use To the Registrar of Companies Company Number [ 02359500 Name of Company (a) Insert full name of (a) EBS COOP Limited By Guarantee company (b) Insert full name and We (b) | addresses Carolynn Jean Best Richard Frank Simms I F A Simms & Partners Limited F A Simms & Partners Limited Pioneer House Pioneer House 39 Station Road 39 Station Road Lutterworth Lutterworth Leicestershire Leicestershire LE17 4AP LE17 4AP United Kingdom United Kingdom (c) Insert date the liquidator(s) of the above-named company attaches a statement of the company’s affairs as at (c) 24 April 2014 \ Signed Sea C Date _ 24 April 2014 \ INN For Official Use aie and same. F A Simms & Partners Limited Liquidation Section Post Room address reference (fany) Pioneer House 39 Station Road Lutterworth Leicestershire LE17 4AP United Kingdom *A36SWMPN* A06 29/04/2014 #136 COMPANIES HOUSE Rule434-CVL © wa Form 4 19 Statement of Affairs EBS COOP Limited By Guarantee on the 24 April 2014 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 FullName S7FONSVY PAU BELSEY Signed