Form 4.20 Rule 4.34 - CVL 395/99 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 03170013 Name of Company Medivia! Limited We Richard Andrew Segal Jamie Taylor The Old Exchange The Old Exchange 234 Southchurch Road 234 Southchurch Road Southend-on-Sea Southend-on-Sea Essex Essex, SS1 2EG SS1 2EG the liquidator(s) of the above named company attach a statement of the company affairs as at 20 January 2009 _— Signed ou 20 January 2009 a /_\ feng r ( Begbies Traynor The Old Exchange For T Use 234 Southchurch Road Southend-on-Sea Essex $S$12EG Ref: M1068/CFB/PRT/AG Software Supplied by Turnkey Computer Technology Limited. Glasgow COMPANIES HOUSE Rule 4.34-CVL Form 4.19 Statement of Affairs Statement as to affairs of Medivial Limited on the 20 January 2009 the date of the resolution for winding up AFFIDAVIT This affidavit must be sworn or affirmed before a Solicitor or Commissioner of Oaths when you have completed the rest of this form. | James O'Connor, 61, London Road, Shenley, Hertfordshire, WD7 9BW Make oath and say that the several pages exhibited hereto and marked A,A1,A3, A4 & AS are to the best of my knowledge and belief a full, true and complete statement as to the affairs of the above named company as at 20 January 2009 the date of the resolution for winding up and that the said company carried on business as Medical & Cosmetic Vial Production HARBOTTLE LEWIS & 1 LLP Sworn/affirmed at 14 Hanovet Senate, London Loade W1S | HP Date 29 Janw ~~" QD Om Signatures au ae Se Before Me a A Solicitor Gemmissicner-ef or Oaths o-duly authorised officer Before swearing the affidavit the Solicitor or Commissioner is particularly requested to make sure that the full name, address and description of the Deponent are stated, and to initial any crossings-out or other alterations in the printed form. A deficiency in the affidavit in any of the above respects will mean that it is refused by the court, and will necessitate its being re-sworn. Mediviat Limited Statement Of Affairs as at 20 January 2009 A- Summary of Assets Estimated to Assets Book Vaiue Realise £ £ Assets subject to fixed charge: Book Debts 123,275.00 70,000.00 Lloyds TSB Commercial Finance (105,878.00) Deficiency c/d (35,878.00) Assets subject to floating charge: Uncharged assets: Cash at Bank 2,450.00 2,450.00 Cash with agents re sale of assets 135,000.00 135,000.00 Debtor re sale of assets 25,000.00 25,000.00 Estimated total assets available for preferential creditors 162,450.00 Signature a-Lizce. Medivial Limited Statement Of Affairs as at 20 January 2009 A1 - Summary of Liabilities Estimated to Realise £ Estimated total assets available for preferential creditors (Carried from Page A) 162,450.00 Liabilities Preferential Creditors:- Employees Wages/holiday pay-est 35,000.00 35,000.00 Estimated deficiency/surplus as regards preferential creditors 127,450.00 Estimated prescribed part of net property where applicable (to carry forward) NIL Estimated total assets available for floating charge holders 127,450.00 Debts secured by floating charges Deficiency b/d 35,878.00 35,878.00 Estimated deficiency/surplus of assets after floating charges 91,572.00 Estimated prescribed part of net property where applicable (brought down) NIL Total assets available to unsecured creditors 91,572.00 Unsecured non-preferential claims (excluding any shortfall to floating charge holders) Shortfall to preferential creditors (brought down) NIL Trade & Expense Creditors 238,328.00 Employees-wages 112,000.00 Directors loan- Mrs J O'Connor 290,000.00 Directors loan- J O'Connor 91,000.00 HM Revenue & Customs-paye/ni 319,374.00 HM Revenue & Customs-vat 87,990.00 1,138,692.00 Estimated deficiency/surplus as regards non-preferential creditors (excluding any shortfall to floating charge holders) (1,047, 120.00) Estimated deficiency/surplus as regards creditors (1,047 ,120.00) Issued and called up capital Ordinary Shareholders 100.00 100.00 Estimated total deficiency/surplus as regards members (1,047,220.00) Signature Date I L204, "19/0209 Begbies Traynor Page 1 AS - Moding Gherge Creditors Statement of Aris Figures £ 105,878.00 CLo2 Lloyds TS8 Commercial Finance Ltd no 1 Brookhill Way Banbury Oxfordshire OX16 3EL 1 Entries Totaling 105,878.00 Signature | — Date___ 2, [2 0-4. 49/01/2009 15:15:02 Version 2.00 Page | "49/07/2009 . Begbies Traynor Page 1 £ CE02 Employees-wages/noliday pay 35,000.00 various 1 Entries Totaling 35,000.00 a { Signature NL Date sel bret. 19/01/2009 15:15:35 Version 2.00 Page 1 "49/01/2009 , Begbies Traynor § SEimEt of izle Mgures CAQO ADT Fire & Security Ple PO Box 352 Manchester M16 9XY 10,617.43 CAO1 Alcan Packaging Pharmaceutical & Personal Care 1011 Wheaton Avenue Millville, NJ 08332 USA 5,112.30 CA04 Alce SAS Via Salvo D'Acquisto 24 27010 SIZANO (PV) ITALY 3,102.14 CB01 Biffa Waste Services Head Office Coronation Road Cressex High Wycombe Bucks, HP12 3TZ 275.57 CB02 Bolt & Bearing (London) Ltd Unit 85 Valley Link Estate Meridian Way Enfield EN3 4TY 510.60 CB03 B.T. Business Division 170-175 Moor Lane Preston Lancs PR1 1BA 9,680.77 CB04 Business Gas PO Box 213 Albert Road Bamet Herts EN4 9SP 623.93 ccoo Cadisch Precision Meshes Ltd Unit 1, Finchley Industria! Centre 879 High Road Finchley London N12 8OA 3,107.34 cco1 Campbell McLeave Southern Region Signature 19/01/2009 15:16:30 Version 2.00 Page 1 49/01/2009 , Begbies Traynor Seiomento’ Atiare Figuies Unit 15 Haslemere Industrial Estate Liddatl Way West Drayton Middlesex UB7 8PG 288.12 cco2 Capital Wholesate Limited Unit BS Connaught Business Centre Hyde Estate Road London NW9 6JL 2,567.17 cc03 Cocap London Ltd Unit 3 Atlas Business Centre, Oxgate Lane, London NW2 7HJ 19,508.16 CEOO E.On Energy PO Box 123 Nottingham NG1 6HO 795.00 CE01 Euro Dividers SA 16 Rue de l'industrie 7321 Bernissan Belgium 112,000.00 CE04 Employees-wages various 338.40 cGot GIS Industria! Supply Co. Limited 23/24 Hillgrove Business Park Nazeing Road Nazeing Essex ENS 2HB 37,302.16 CG02 Gerresheimer Pisa S.p.A. Via Montelungo, 4 56122 PISA ITALY 371.11 CHO3 Hudson Packaging Limited Signature Date fi frue4, Page 2 19/01/2009 15:16:30 Version 2.00 ” 49/01/2009 , Begbies Traynor Meatutet canned 24 Campbell close Wickford Essex $$12 SHL cloo isotron Plc 1,650.00 Moray Road Elgin Sndustria! Estate Swindon Berkshire SN2 8XS cto1 Lightning Packaging Supplies 48.68 Frobisher Way Hatfield Business Park Hatfield Herts AL10 STY CNOoO Nekem Limited 2,538.74 Trinity Street Hull East Yorkshire HU3 1JR : CNO1 Neubor Glass S.p.A 35,575.00 Via Murano 2 - Zona Ind. Ponte Rosso 33078 S.Vito al Tagliamento (PN) ITALY CPO0O Patlet Co. Limited 2,253.84 Rubastic Road Off Brent Road Southall Middlesex UB2 5LL CPO1 Prior Packaging Ltd 8,221.73 Unit 87 Rivereside 3 Sir Thomas Longley Road Medway City Estate Rochester, Kent, ME2 4BH 350.54 CROO RBS {nvoice Finance Smith House PO Box 50 Etmwood Avenue Feltham Middx, TW13 70D cso1 Schott Rohrglass GmbH 62,979.71 Signature Date el bres, 19/01/2009 15:16:30 Version 2.00 Page 3 19/01/2009 Erich-Schott-Strasse Postfach 1180 D-95660 Mitterteich GERMANY 3,290.64 CS02 Security Escorts Unit 3 Sovereign Park coronation Road Park Royal London NW10 7QP 24,884.65 CS03 Silver Levene 37, Warten Street, London, WiT 6AD 463.99 CTOO Technische Glaswerke Ilmenau Am Vogelherd 74 98693 IImenau GERMANY 1,130.95 cTot The Imagesetting Bureau Hillary Press 75 Church Road Hendon London NW4 4DP §05.23 cvoo Viking Direct PO Box 279 Leicester LE3 1YU 30 Entries Totaling 350,327.82 Signature Date 21; lice4, Version 2.00 Page 4 19/01/2009 15:16:30