Form 4.20 Rule 4 34-CVL The Insolvency Act 1986 Statement of Company's Affairs Pursuant to section 95/99 of the Insolvency Act 1986 For Official Use To the Registrar of Companies Company Number 02606152 Name of Company Newark and District Citizens Advice Bureau We Peter Gotham Michael Colin John Sanders New Bridge Street House New Bridge Street House 30 - 34 New Bridge Street 30 - 34 New Bridge Street London London EC4V 6BJ EC4V 6BJ the Joint Liquidators of the above named Company attach a Statement of the Company affairs as at 19 July 2012 YS Date 19 July 2012 Signed Macintyre Hudson LLP Z _ _New Bridge Street House —— 30 - 34 New Bridge Street Insolvency St London *A1E073FK* ECAV SBS A17 26/07/2012 #197 COMPANIES HOUSE Ref CR100616/PG/MCJS/JK/GM | 1 Form 4 19 Rule 4 34-CVL Statement of Affairs Statement as to affairs of Newark and District Citizens Advice Bureau on the 19 July 2012 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 MRA fimron$ RPnGeYeae= Signed “AR Dated 19/3 119 Newark and District Citizens Advice Bureau Statement Of Affairs as at 19 July 2012 A- Summary of Assets Estimated to Assets Book Value Realise £ £ Assets subject to fixed charge’ Assets subject to floating charge: Uncharged assets: NIL 125 00 Photocopier NIL Uncertain General Office Furniture & Equipment Fund 20,000 00 20,000 00 CCLA Deposit - Unrestricted 33,919 34 33,919 34 Cash at Bank Big Lottery Restricted Fund 5,409 81 5,409 81 Cash at Bank General / Unrestricted 150 00 150 00 Cash in Hand (1,224 00) Agreed payment from Big Lottery Funds (42,509 00) Repayment of Remaining Big Lottery Funds 15,871 15 Estimated total assets available for preferential creditors Signature Pha Date \9/ aft Newark and District Citizens Advice Bureau Statement Of Affairs as at 19 July 2012 A1 - Summary of Liabilities Estimated to Realise £ 15,871 15 Estimated total assets available for preferential creditors (Carried from Page A) Liabilities Preferential Creditors - NIL 15,871 15 Estimated deficiency/surplus as regards preferential creditors Debts secured by floating charge pre 15 September 2003 Other Pre 15 September 2003 Floating Charge Creditors NIL 15,871 15 NIL Estimated prescribed part of net property where applicable (to carry forward) Based on floating charge assets of Nil 15,871 15 Estimated total assets available for floating charge holders Debts secured by floating charges post 15 September 2003 Nit 15,871 15 Estimated deficiency/surplus of assets after floating charges NIL Estimated prescribed part of net property where applicable (brought down) 15,871 15 Total assets available to unsecured creditors Unsecured non-preferential claims (excluding any shortfall to floating charge holders) Landlords Claim Rent Arrears 2,500 00 Trade & Expense Creditors 1,619 03 Employees 9,337 00 Volunteer Expenses 835 60 Trustee Expenses 13 40 HM Revenue & Customs - PAYE 2,689 77 16,994 80 Estimated deficiency/surplus as regards non-preferential creditors (1,123 65) (excluding any shortfall in respect of F.C's post 14 September 2003) (1,123 65) Estimated deficiency/surplus as regards creditors Issued and called up capital NIL (1,123 65) Estimated total deficiency/surplus as regards members Signature CAO Date 2/3Y In Macintyre Hudson LLP Newark and District Citizens Advice Bureau B - Company Creditors £ Key Name Address 84 00 CAO Alan Ashcroft 483 Main Street, Burton JOyce, Nottingham, NG14 SEL 000 CBO00 Big Lottery Fund Apex House, 3 Embassy Drive, Edgbaston, B15 1TR 366 12 CB01 British Gas Payment Area 60, Camberley, Surrey, GU95 1AW 000 CB02 BT Keybridge House, 80 South Lambeth Road, London, SW8 1RL 50 60 CBO3 Mrs Pauline Baird 6 Chatsworth Avenue, Southwell, Notts, NG25 OAE 50 60 CB04 Peter Bristow 28 Nottingham Road, Southwell, Notts, NG25 0AE 363 20 CBO05 Mrs Ros Brown 11 Cooper House, Cropwell Bishop, NOttingham, NG12 3DL 45 00 ccoo B Cooper Heating & Plumbing 1 Spring Lane, Balderton, Newark, Notts, NG24 3NZ 56 25 cco1 Marian Ciobanu 164 North Gate, Newark, Notts, NG24 1HL 4490 cco2 Mrs Jess Clayton 106 65 CD00 Mrs Helen Davenport 1 The Riddings, Southwell, Nottingham, NG25 OBD NG1 9GQ 000 Eon Business Customer Service, Eon Energy Services Limited, PO Box 2010, CE00 13 40 CE01 Malcolm Ellison 139 Farndon Road, Newark, Notts, NG24 4SP 2,500 00 CFO0 Frary Investments Limited (Landlord) Cabourn House, Station Street, Ningham, Nottingham, NG13 8AG 16 80 CcG00 Mrs Dawn Gardner Alderbrook House, Howitts Field, Farndon, Newark, Notts NG24 3TU 000 on Road, CHO0O HM Revenue & Customs (CT) Debt Management Enforcement & Insolvency, Durrington Bridge House, Barringt Worthing, West Sussex, BN12 4SE 1ZZ 000 CHO01 HM Revenue & Customs (PAYE) Room BP3202, Benton Park View, Longbenton, Newcastle Upon Tyne, NE98 4AF 000 CH02 HM Revenue & Customs (VAT) Insolvency Operations , VAT Central Unit, Queens Dock, Liverpool, L74 4410 CH04 Mrs Lorraine Hook The Corner House, Gravelly Lane, Fiskerton, Notts, NG25 ouUWw 69 00 CHO5 Mrs M Huxtable 1 The Paddocks, Hockerton, Southwell, Notts, NG25 OWA Nottingham, 2,689 77 CHO6 HM Revenue & Customs - Notts Derby Area CT Operations (Nottingham Group), Fitzroy House, Castle Meadow Road, NG2 1BD 66 50 cJOo Mrs Ros Johnson 6 Wakeling Close, Southwell, Notts, NG25 OJF 35 70 CLOO Mrs Donna Livingstone 9 Edinburgh Squre, Waddington, LN5 3NQ 25 20 CMoO0 Mrs Wendy McCaalliin Clensey House, Dry Doddington, Newark, Notis, NG23 5HT 28 00 CNOO Newark Town & District Club Barnbygate House, 35 Barnbygate, Newark, Notts, NG24 1PX 200 00 CP00 Photostatic Copiers (East) & CO 6 Glenhorm Park, Brunel! Drive, Newark, Notts, NG24 2EG 45 40 CP01 Mrs Lacramioara Petrica 164 North Gate, Newark, Notts, NG24 1HL 39 59 csoo Staples Direct PO Box 732, Doncaster, DN3 1WR Signature 18 July 2012 15 36 IPS SQL Ver 2011 Page 1 of 2 Macintyre Hudson LLP Newark and District Citizens Advice Bureau B - Company Creditors £ Key Name Address 135 72 cs01 Severn Trent Water Providence Row, Durham, DH1 1RR 41160 cso2 Siemens Sefton Park, Bells Hill, Stoke Poges, Buckinghamshire, SL2 4JS 107 00 Ccwo0 Mrs Judith Whistler 14 Fairway, Newark, Notts, NG24 4RG 10 20 cwo1 Mrs Sandra Whittle 406 Wolfit Avenue, Balderton, Newark, Notts, NG24 3PQ | 52 50 CWwo2 Mr Mike Witts The Hollies, Church lane, Upton, Newark, Notts, NG23 5SR { 1,013 00 EDOO Ms Judith Dove Chevin Mill House, Chevin Mill, Belper, Derbyshire, DE56 2UN 3,614 00 EHOO Mrs Lorraine Henfrey 51 Smith Street, Balderton, Newark, Notts, NG24 3BA 000 EMOO0 Mrs Denise Masding The Old Pound House, Main Street, Coddington, Newark, NG24 2PN 202 00 EPOO Mrs Lacramioara Petrica 164 North Gate, Newark, Notts, NG24 1HL 4,332 00 ESoo Mrs Helen Sutton Park House, Lowdham Road, Gunthorpe, Nottingham, NG14 7ES 000 Ewoo Mrs Julie Winterton 51 Alexander Road, Farnsfield, Newark, Notts, NG22 8LH 16,818.80 39 Entries Totalling Signature 18 July 2012 15 36 IPS SQL Ver 2011 Page 2 of 2 - —|-9O-|—— ——-—--__ MacIntyre Hudson LLP Newark and District Citizens Advice Bureau C - Members Pref Ord ther Total Key Name Address 0 0 0 0 HBOO = Mrs Pauline Baird 6 Chatsworth Avenue, Southwell, Notts, NG25 0AE 0 0 0 0 HB02 = Ms Baggaley 3 Elm Close, Newark, Notts,, NG24 1SG 0 0 0 0 Judith Dove Chevin Mill House, Chevin Mill, Belper, Derbyshire, DE56 2UN 0 HDOO 0 0 ie} HEOO Malcolm Ellison 0 0 0 0 HGOO Councillor T Gurney 81 Main Street, Balderton, Newark, Notts, NG24 3NN 0 0 0 0 HHOO = D Hyde 9 Wellington Road, Newark, Notts, NG24 1NJ 0 0 0 0 HHO2 ~=—- Ms Sally Hubbard Tuctaway, School Lane, Canwick, Lincoln, LN4 2RP 0 0 0 0 HMOoO = Ms Sue Mckenny 80 Charles Street, Newark, Notts, NG24 1RL 0 0 0 0 HPO1 Mr David Pattinson 233 London Road, Balderton, Newark, Notts, NG24 3HA 0 0 0 0 HROO = Miss Sheila Roberts Larken & Co, 10 Lombard Street, Newark, NG24 1XE 0 Q Road, Newark, NO 0 HRO1 Mr David Rogerson Chattertons, Unit 1 Trentside , (Exec)Business Village, Farndon 0 0 0 0 HRO2 Mrs B Rimmer Old Vicarage, 1 Chapel Lane, Coddington, Newark, NG24 2PW 0 0 0 0 HSOO Mr Robin Steedman 23 William Street, Newark, NG24 10S 0 0 0 0 HS01 Mr Tim Shaw 7 Trenchard Square, Scampton, Lincoln, LN1 2TA 0 0 0 0 HW00 = Councillor C Wetton 8 John Gold Avenue, Newark, Notts, NG24 1RU 4 0 15 Entries Totalling { | | { Signature CARR 18 July 2012 15 35 IPS SQL Ver 2010 Page 1 of 1