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 03876922 Name of Company Cotswold Intumescent Services Ltd we Philip John Gorman Windsor House Barnett Way Barnwood Gloucester GL4 3RT the liquidator(s¥ of the above named company attach a statement of the company affairs as at 03 December 2009 Signed Ne Date 03 December 2009 mt Hazlewoods LLP Windsor House Por Official Use Barnett Way Insolvgmmy S*-on Pret Ranm \ Barnwood Gloucester x GL4 3RT 9 2 Ref: 757/P FROST 9 Software oftware Supplied Supplied byby Turnk Computer Technol Turnkey imited. Technology Limite: Glasgow g = 09/12/2000 COMPANIES HOUSE Rule 4.34-CVL Form 4.19 Statement of Affairs Statement as to affairs of Cotswold Intumescent Services Ltd on the 3 December 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. wt of | Mari# Young "Xanadu", Commercial Road, Chalford Hill, Stroud GL6 8EU Make oath and say that the several pages exhibited hereto and marked 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 3 December 2009 the date of the resolution for winding up and that the said company carried on business as Suppliers of intumescent Products Sworn/affirmes at Boman Bouse, Basmekr Won Gasnvced, Clouceskexr Date 2s December, 2O0GQ Signatures Ww OA SA Before Me h Soiethuons aE A Solicitor-or-Commissioner of Oaths ordtty-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. Cotswold Intumescent Services Ltd Statement Of Affairs as at 3 December 2009 A- Summary of Assets Estimated to Assets Book Value Realise £ £ Assets subject to fixed charge: Leasehold Land & Property 4.00 Goodwill 1.00 Book Debts 65,299.00 52,897.00 Lloyds TSB Bank Pic (98,939.00) Deficiency c/d (46,042.00) Vehicles 8,225.00 7,750.00 ING Lease (UK) (6,238.00) 1,512.00 1,512.00 Vehicle 16,860.00 15,000.00 Capital Bank (16,128.00) Deficiency c/d (1,128.00) Vehicle 8,980.00 9,000.00 Audi Finance (12,139.00) Deficiency c/d (3,139.00) Vehicle 12,471.00 10,000.00 Northridge Finance (16,335.00) Deficiency c/d (6,335.00) Assets subject to floating charge: Uncharged assets: Furniture & Equipment 10,325.00 5,000.00 Stock 2,000.00 500.00 Prepayments 3,721.00 Estimated total assets available for preferential creditors 7,012.00 Signature YA mone Date 3/i 2| 2.€0~ SS Cotswold Intumescent Services Ltd Statement Of Affairs as at 3 December 2009 A1 - Summary of Liabilities Estimated to Realise £ Estimated total assets available for preferential creditors (Carried from Page A) 7,012.00 Liabilities Preferential Creditors:- Employee Arrears/Hol Pay 11,290.00 11,290.00 Estimated defictency/surplus as regards preferential creditors (4,278.00) Estimated prescribed part of net property where applicable (to carry forward) NIL Estimated total assets available for floating charge holders (4,278.00) Debts secured by floating charges Deficiency b/d 46,042.00 46,042.00 Estimated deficiency/surplus of assets after floating charges (50,320.00) Estimated prescribed part of net property where applicable (brought down) NIL Total assets available to unsecured creditors NIL Unsecured non-preferential claims (excluding any shortfall to floating charge holders) Deficiency b/d 40,602.00 Trade & Expense Creditors 68,993.00 Employees 52,753.00 Directors Loan 7,000.00 Paye/Nic 8,857.00 Vat 9,608.00 157,813.00 Estimated deficiency/surplus as regards non-preferential creditors (excluding any shortfall to floating charge holders) (157,813.00) Shortfall to floating charge holders (brought down) 50,320.00 Estimated deficiency/surplus as regards creditors (208,133.00) Issued and called up capital Ordinary Shareholders 4,000.00 1,000.00 Estimated total deficiency/surplus as regards members (209,133.00) Signature \aTong Date ai \ 2| 2909 00°2 uos1aq, WOT FELT 2e oy, asneuBbig 92082 ADE $19 ‘pnang pay sauddng eoyQ prong = S1SO oo'96e ANP $79 ‘Phong ‘ivy Aegz ‘S800 INUNOD founed puisiq pnonS = LSD 9°26 VAAQ ZZS¢ ‘Be Jedng uosayy ‘Lon ‘Aemped C0E-LOE ANVWUS LOSO L9'b2 ASO CAD ‘Anuancg ‘peoy sume 1g ‘asno}H ewnoqreys Pay] sem Wwss1 WsABS =—SOSD Seg LYB ZZVA ‘JEsiEWOS ‘AOS, ‘Wed SSaUISNg audspuNoY ‘anuaay peayy PWT ag XyMaNg YS 00'901'29 508 91g ‘weySurug ‘peoy Aa|Gey $9-eg ‘asenbs yeqiod ‘0014 WE aouag jsuawAeg Aouepunpay = EOD OL'OLt AS? $19 ‘pnags ‘Aa/qq ‘peoy premsany 002 pay] ssejg uewoY = ZOD o0'egz's we $19 ‘phos ‘yNog yBnoioqpoy aukeg @nepuey = LOND e128 AANE FUN ‘UOIWION °262€ XOg O ‘aigeantavey sjuNcaoy saovwuag BuucION DVY = 00ND Oe zy XGZ $19 ‘PNong ‘peoy uopu0? ‘e}Z1Sq Burpeys xiuosud ‘Lg Wun sagiag Jaded xIUa0Ud = 00d D 28°88 HNO 1187 ‘spee) ‘Aemued MEUSIIW Wed SsaUIsng UoIBuIyy 'A-x elINg “Aiancoey 1480 SWS pam Cin} ZO: 00OD 000 UvZ LY ‘xassg ‘plojwoy eens YINOS ‘asnoH ysodoaN pr] soueuls sodean §=OAND oo'g80'ze SOONUTE |ESULUOD GS) SPAOT] e010 oo'ese'19 QGE S19 ‘pnag ‘yoromoy Zt td WweE ASL SPAOT] 201d avet @1Z ESS ‘xassy ‘eas UO PuaU;Nos ‘enuaAy YoINYOUINOS ‘asnoy xassy SO0INAS PED ssauIsNG QS! 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