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 03221093 Name of Company Nationwide Nursing Home Supplies Limited [/We Peter O'Hara, Wesley House, Huddersfield Road, Burstall, Batley, West Yorkshire, WF17 9EJ Simon Weir, Wesley House, Huddersfield Road, Birstall, Batley, West Yorkshire, WF17 9EJ the liquidator(s) of the above named company attach a statement of the company affairs as at 05 February 2015 ‘ Signed he [ wt Date 05 February 2015 OparsK Co _ Wesley House For ie Use Huddersfield Road Insolvency Section Post Room Birstall Batley > West Yorkshire, WF17 9EJ < x Ref N136/POH/SW/DR S Software Supplied by Turnkey Computer Technology Limited Glasgow “ 7/02/2015 #143 COMPANIES HOUSE Rule 4 34-CVL Form 4 19 Statement of Affairs Statement as to affairs of Nationwide Nursing Home Supplies Limited on the 5 February 2015 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 CHRISTOPHER ZToseeu WHELAN) Signed -AB wr, oma Dated OS .0o2. 2ZoOit Nationwide Nursing Home Supplies Limited Statement Of Affairs as at 5 February 2015 A - Summary of Assets Estimated to Assets Book Value Realise £ Assets subject to fixed charge: Factored Book Debts 422,227 00 84,735 00 Royal Bank of Scotland Invoice Finance (84,735 00) NIL NIL Motor Vehicles (2 Mercedes Sprinters) 10,140 00 7,200 00 Lombard (7,200 00) NIL NIL Motor Vehicle (Volvo) 8,590 00 6,100 00 Investec (6,172 00) Deficiency c/d (72.00) Motor Vehicle (Citroen Relay) 7,000 00 7,000 00 Lombard (7,000 00) NIL NIL Assets subject to floating charge Uncharged assets Plant & Machinery 5,773 00 4,100 00 Office Furniture & Equipment 1,971 00 1,400 00 Motor Vehicles 15,772 00 141,200 00 Stock 385,025 00 15,000 00 Non Factored Book Debts 3,015 00 2,261 00 Cash tn Hand 17,998 00 17,998 00 Estimated total assets available for preferential creditors 51,959 00 Signature LE. Date Nationwide Nursing Home Supplies Limited Statement Of Affairs as at 5 February 2015 A1 - Summary of Liabilities Estimated to Realise £ Estimated total assets available for preferential creditors (Carried from Page A) 51,959 00 Liabilities Preferential Creditors - Employee Arrears/Hol Pay 3,659 00 3,659 00 Estimated deficiency/surplus as regards preferential creditors 48,300 00 Debts secured by floating charge pre 15 September 2003 Other Pre 15 September 2003 Fioating Charge Creditors NIL 48,300 00 Estimated prescribed part of net property where applicable (to carry forward) NIL Based on floating charge assets of Nil Estimated total assets available for floating charge holders 48,300 00 Debts secured by floating charges post 15 September 2003 Royal Bank of Scotland 9,124 00 9,124 00 Estimated deficiency/surplus of assets after floating charges 39,176 00 Estimated prescribed part of net property where applicable (brought down) NIL Total assets available to unsecured creditors 39,176 00 Unsecured non-preferential claims (excluding any shortfall to floating charge holders) Deficiency b/d 72 00 Trade & Expense Creditors 151,774 98 Employees 210,426 00 Landlord (Rent/Insurance Arrears) 14,235 89 Directors Loan Account 296,077 75 672,586 62 Estimated deficiency/surplus as regards non-preferential creditors (excluding any shortfall in respect of F C's post 14 September 2003) (633,410 62) Estimated deficiency/surplus as regards creditors (633,410 62) \ssued and called up capital Ordinary Shareholders 100 00 100 00 Estimated total deficiency/surplus as regards members (633,510 62) Signature Ens Date O'Hara & Co Nationwide Nursing Home Supplies Limited A2 - Secured Creditors Statement of Affairs Figures Key Name £ Clo1 Investec Asset Finance Plc 6,172 00 213258725 CLO2 Lombard North Central 7,200 00 P001406606, P001604377 CLO4 Lombard North Central 7,000 00 CRO4 RBS Invoice Finance 84,735 00 4 Entries Totalling 105,107 00 Page 1 of 1 IPS SQL Ver 2010 05 February 2015 11 21 O'Hara & Co Nationwide Nursing Home Supplies Limited A3 - Floating Charge Creditors Statement of Affairs Figures Key Name £ CRO5 Royal Bank of Scotland 9,124 00 6 Nessgate York YO1 SFY 1 Entries Totalling 9,124 00 ZZ Signature Page 1 of 1 IPS SQL Ver 2010 05 February 2015 11 21 O'Hara & Co Nationwide Nursing Home Supplies Limited A4 - Preferential Creditors Statement of Affairs Figures Key Name £ CRO6 Redundancy Payments Office 3,659 00 PO Box 16685 Birmingham B2 2LX 1 Entries Totalling 3,659.00 Signature Page 1 of 1 (PS SQL Ver 2010 05 February 2015 11 21 O'Hara & Co Nationwide Nursing Home Supplies Limited A5 - Unsecured Creditors Statement of Affairs Figures Key Name £ CA00 Ashley Wilde Group 5,921 96 Emmanuel House Travellers Close WELHAM GREEN Hertfordshire AL9 7LD CA01 Anglo American Sewing Machines LLP 39 00 Unit 3 14A Burwell Road Leyton LONDON E10 7QG CBoO British Gas 4,333 42 A3834376 Site No 174153 1600 Parkway Court Oxford Business Park South Garsington Road OXFORD OX4 2J5Y CBO1 W Baird 3,681 27 3 Down End HOOK NORTON Oxfordshire OX15 SLW CBO02 Bower Green Limited 400 00 Dryden Street BRADFORD West Yorkshire BD1 5ND CB04 Bradfast 64 02 Unit 2, Junction 25 Business Park Huddersfield Road MIRFIELD West Yorkshire WF14 9DA CBO05 BTUK Business Accounts 25 34 TVTE Providence Row DURHAM DH98 1BT ccoo Clarkson Textiles Limited 9,370 62 Lindred Road Lomeshaye Estate NELSON Lancashire BBO SSR Signature ZZEZZ. Page 1 of 9 IPS SQL Ver 2010 05 February 2015 11 20 O'Hara & Co Nationwide Nursing Home Supplies Limited A5 - Unsecured Creditors Statement of Affairs Figures Key Name £ cCco1 Commerce Business Systems (UK) LLP 809 99 Crossley Hail Centre Thornton Road BRADFORD West Yorkshire BD8 OHH cco2 Covertex Limited 7409 Unit 1, Orient Industrial Park Simonds Road Leyton LONDON E10 7DE CC03 Companies House 13.00 Crown Way CARDIFF CF14 3UZ cco4 C MI Lexaire Ltd 1,747 21 c/o Atradius Collections 3 Harbour Drive Cardiff Bay CF10 4WZ CbDO0 De Zetel 5,038 19 Beverensestraat 33, B-8550 Ardooie BRUGGE BELGIUM CD01 Dust Control Systems Limited 528 00 Churwell Vale, Shawcross Business Park Shawcross DEWSBURY West Yorkshire WF12 7RD cbdo2 Diesel Direct Limited 219 09 Fue! Card Services Limited, 8 Kerry Hill Horsforth LEEDS West Yorkshire LS18 4AY CD03 DMS Blinds 103 78 Low Moor Business Park Common Road BRADFORD West Yorkshire BD12 ONB CE01 000 nehc2010 Signature ZZ Page 2 of 9 IPS SQL Ver 2010 05 February 2015 11 20 O'Hara & Co Nationwide Nursing Home Supplies Limited A5 - Unsecured Creditors Statement of Affairs Figures Key Name £ CE02 Evans Textile Sales Limited 50 72 N1030 Unit 22 Piccadilly Trading Estate Gidding Road MANCHESTER M1 2NP CFOoO Fryett’s Fabrics Limited 5,426 46 Marshail House Rake Lane Clifton MANCHESTER M27 8LJ CFO1 Felt Supplies Limited 1,126 56 Unit 4, Wharfedale Business Park Tong Street (Down Shetcliff Lane) BRADFORD West Yorkshire BD4 9SH CFO02 Fuel Card Services Limited 445 07 8 Kerry Hill Horsforth LEEDS West Yorkshire LS18 4AY CFO03 Faxrite Limited 359 81 8a St James’ Place Baildon SHIPLEY West Yorkshire BD17 7LD CHO0 Hallbridge Limited 2,080 00 Hanama Britannia Way LONDON NW10 7PR CHO01 HSE 1,041 60 CHO2 Hafele UK Limited 634 08 Acc No 236328 Units 11 & 12, Leslie Hough Way Salford Uni Business Park SALFORD Manchester M6 6AJ Signature BAEZ Page 3 of 9 IPS SQL Ver 2010 05 February 2015 11 20 O'Hara & Co Nationwide Nursing Home Supplies Limited A5 - Unsecured Creditors Statement of Affairs Figures Key Name £ CHO3 Howarth Industrial Saws Limited 367 00 117 Bocking, Halifax Road Crossroads KEIGHLEY West Yorkshire BD22 9AP CHO4 H & I Limited 107 45 The Auction House, Brackridge Farm Twitter Lane Waddington CLITHEROE BB7 3LQ CHO05 Heartlands Furniture (Wholesale) Limited 98 40 Heartland House Cranford Street SMETHWICK B44 2TA cioo ICH Limited 394 80 Union Bridge Works, Roker Lane Pudsey LEEDS West Yorkshire LS28 9LE CJeo Jurajska Fabryka Mebli Jura Sp Zo o 7,099 75 42-270 Klomnice, Garnek GLOWNA 5A POLAND cJ01 Johnston Publishing (North) 534 68 PO Box 319 Wellington Street LEEDS West Yorkshire LS1 1UJ CyJo2 John Sylvester (Fastners & Plastics) 38 40 Vulcan Street Dudley Hill BRADFORD West Yorkshire BD4 9QU CKOoO Kirkstall Timber 142 84 Brathwaite Street, Holbeck Lane Holbeck LEEDS West Yorkshire LS11 9XE Signature ZZ Page 4 of 9 IPS SQL Ver 2010 05 February 2015 11 20 O'Hara & Co Nationwide Nursing Home Supplies Limited A5 - Unsecured Creditors Statement of Affairs Figures Key Name £ CLOO Leeds City Council 8,818 14 Revenues & Benefits PO Box 60 LEEDS West Yorkshire LS2 8JR CLO1 Lex Vehicle Leasong Limited 4,749 72 Heathside Park Heathside Park Road STOCKPORT Cheshire SK3 ORB CLO3 Leeds Commercial 7200 The Roundhouse Wellington Road LEEDS West Yorkshire LS12 1DR CMOO0 Masternaut Limited 3,440 58 Priory Park, Great North Road Aberford LEEDS West Yorkshire LS25 3DF CMO1 McCullough Moore Limited 840 00 meadow Court Faygate Lane FAYGATE West Sussex RH12 4SJ CM02 Moorgate Forklifts 96 00 Brook House, John O Gaunts Trading Estate Rothwell LEEDS West Yorkshire LS26 0JB CNOO Northern industrial Services 564 00 Fortanax Works, Mount Pheasant Road Pudsey LEEDS West Yorkshire LS28 7DY CNO1 Northern Commercials Limited 444 91 Armytage Road BRIGHOUSE West Yorkshire HD6 1PG Signature 2 —M—VWy—- 4 Page 5 of 9 IPS SQL Ver 2010 05 February 2015 11 20 O'Hara & Co Nationwide Nursing Home Supplies Limited A5 - Unsecured Creditors Statement of Affairs Figures Key Name £ CNO2 Newlace Limited 250 57 305-307 Bury New Road SALFORD Manchester M7 2YN CNO4 N | Commercials Limited 84 00 Brown Avenue Brown Lane Trading Estate LEEDS West Yorkshire LS11 0DS CNO5 Northern Containers Limited 7170 Haigh Park Road Stourton LEEDS West Yorkshire LS10 1RT CPO00 Prime Creative 3,376 80 Buckley Farm Studios Buckley Lane HALIFAX West Yorkshire HX2 ORQ CP01 Prestigious Textiles 3,280 64 NNH002 4 Cross Lane Westgate Hill Street BRADFORD West Yorkshire BD4 0SG CP02 Porter Vaimic 1,172 25 3 Imprimo Park Lenthal! Road LOUGHTON Essex 1G10 3UF CPO3 Pitney Bowes 414 39 31049408 PO Box 42 HARLOW Essex CM19 5DQ CROO Robinson & Hanson Limited 11,140 70 Albert Mill Saddleworth Road ELLAND West Yorkshire HX5 ORY Signature —A Page 6 of 9 IPS SQL Ver 2010 05 February 2015 11 20 O'Hara & Co Nationwide Nursing Home Supplies Limited A5 - Unsecured Creditors Statement of Affairs Figures Key Name £ CRO1 Renaissance 3,927 44 The Old Mill, Miry Lane Kirk Lane LEEDS West Yorkshire LS19 7ER CRO2 RBC Publishing Limited 492 00 Suite 4 Roddis House Old Christchurch Road BOURNEMOUTH BH1 1LG CRO3 R W Commercials Limited 427 80 Hammerton Street BRADFORD West Yorkshire BD3 9RD CRO6 Redundancy Payments Office 210,426 00 PO Box 16685 Birmingham B2 2LX Ccsoo Shiny World Limited 19,165 14 RM 26F, CC Building 302-308 Hennessy Road WANCHAI HONG KONG cS01 Selco Builders 3,006 61 146-148 Tong Street BRADFORD West Yorkshire BD4 9PP Cs02 Siemens Financial Services 2,215 47 749-1759 Sefton Park Bells Hill STOKE POGES Buckinghamshire SL2 4JS CS03 Script Media Group Limited 1,080 00 47 Church Street BARNSLEY $70 2AS cs04 Sage Software Limited 1,012 68 60119400 Sage House Benton Park Road NEWCASTLE UPON TYNE NE7 7LZ Signature @° > AX_QbdhN= Page 7 of 9 IPS SQL Ver 2010 05 February 2015 11 20 O'Hara & Co Nationwide Nursing Home Supplies Limited A5 - Unsecured Creditors Statement of Affairs Figures Key Name £ CS05 Sonoco Recycling 140 16 Holywell Green Staintand HALIFAX West Yorkshire HX4 9PY CS06 Sage Pay 25 00 Holborn Hall 100 Gray's Inn Road LONDON WC1X 8AL CT0o The London Oil Refining Co Limited 14,235 89 Astonish House, Unit 1 Premier Point Staithgate Lane BRADFORD BD6 1DW CT01 Tomorrow's Guides Limited 41,818 00 PO Box 7677 HUNGERFORD RG17 OFX CT02 Transnet Services 744 80 Acc No 801 Unit 1A, Ashbrooke Park Parkside Lane LEEDS West Yorkshire LS11 5SF CTO3 The Limehouse Lamp Company 158 05 Ccu00 UBM Information Limited 14,504 00 PO Box 314 Riverbank House Angel Lane TONBRIDGE TNO 1YT cvoo Veolia Environmental Services (UK) Limited 924 83 Lindon Road Brownhills WALSALL WS8 7BB Cwoo Mr C Whelan 296,077 75 Mayden Chase Copt Hewick RIPON North Yorkshire HG4 5DE Signature LEZZZE Page 8 of 9 IPS SQL Ver 2010 05 February 2015 11 20 O'Hara & Co Nationwide Nursing Home Supplies Limited A5 - Unsecured Creditors Statement of Affairs Figures Key Name £ cwo1 Windsor Care Home 11,000 00 Victoria Road east Hebburn Tyne & Wear NE31 1YQ 68 Entries Totalling 672,514 62 @ - Denotes associate creditor Signature Page 9 of 9 IPS SQL Ver 2010 05 February 2015 11 20