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 03371526 Name of Company Chilliqueen Limited |/We Craig Povey David Clements 35 Calthorpe Road 20 Brunswick Place Edgbaston Southampton Birmingham $015 2AQ B15 1TS the liquidator(s) of the above named company attach a statement of the company affairs as at 14 January 2013 Signed Se Date 14 January 2013 9 7 Chantrey Vellacott DFK OT For Official Use 35 Calthorpe Road Edgbaston Insolvet ‘ Mant Oanm Birmingham B15 1TS Ref CHIL57289/CJP/AM/RL Software Supplied by Tumkey Computer Technology Limited Glasgow 22/01/2013 #155 COMPANIES HOUSE Rule 4 34-CVL Form 4 19 Statement of Affairs Statement as to affairs of Chilliqueen Limited on the 14 January 2013 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 otns ALKA Signed brie MAN Dated 1G fi | 21% Chilliqueen Limited Statement Of Affairs as at 14 January 2013 A - Summary of Assets Estimated to Assets Book Value Realise £ £ Assets subject to fixed charge’ Assets subject to floating charge Uncharged assets: Trailer NIL 300 00 Estimated total assets available for preferential creditors 300 00 Signature low MAK Date ab JRwIy i a Chilliqueen Limited Statement Of Affairs as at 14 January 2013 Ai - Summary of Liabilities Estimated to Realise £ Estimated total assets available for preferential creditors (Carried from Page A) 300 00 Liabilities Preferential Creditors - NIL Estimated deficiency/surplus as regards preferential creditors 300 00 Debts secured by floating charge pre 15 September 2003 Other Pre 15 September 2003 Floating Charge Creditors NIL 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 300 00 Debts secured by floating charges post 15 September 2003 NIL Estimated deficiency/surplus of assets after floating charges 300 00 Estimated prescribed part of net property where applicable (brought down) NIL Total assets available to unsecured creditors 300 00 Unsecured non-preferentia! claims (excluding any shortfall to floating charge holders) Trade & Expense Creditors 45,000 00 Directors 11,657 00 56,657 00 Estimated deficiency/surplus as regards non-preferential creditors (excluding any shortfall in respect of F C's post 14 September 2003) (56,357 00) Estimated deficiency/surplus as regards creditors (56,357 00) Issued and called up capital Ordinary Shareholders 44,462 00 44 462 00 Estimated total deficiency/surplus as regards members (100,819 00) Signature bow. i Date ea { 20)3 Chantrey Vellacott DFK Chilliqueen Limited A2 - Secured Creditors Statement of Affairs Figures Key Name £ 0 Entries Totalling 000 Signature we (We: Page 1 of 1 IPS SQL Ver 2010 14 January 2013 10 35 Chilliqueen Limited A3 - Floating Charge Creditors Statement of Affairs Figures Key Name £ 0 Entries Totalling 000 Signature hue Mc v Page 1 of 1 (PS SQL Ver 2010 14 January 2013 10 36 Chilliqueen Limited A4 - Preferential Creditors Statement of Affairs Figures Key Name 0 Entries Totalling Signature Page 1 of 1 IPS SQL Ver 2010 414 January 2013 10 36 Chilliqueen Limited A5 - Unsecured Creditors Statement of Affairs Figures Key Name £ CA00 Mr and Mrs Atkin 11,657 00 4 Great Coombe Cottages Coombe Road Compton Newbury RG20 6RG CBOO0 Barclays Bank 40,000 00 Corporate Recovery Office CEOO Gareth Eyles - Owen 000 Cranleigh House 15 Coverts Road Esher Surrey KT10 OJY CG00 NGS Corporate 5,000 00 3 Woburn House Derby DE1 1UL 4 Entries Totalling 56,657.00 @ - Denotes associate creditor Signature hu MWe : v oo Page 1 of 1 IPS SQL Ver 2010 14 January 2013 10 36