Rule 4 34 Form 4 20 S.95/99 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 [08066585 Name of Company (a) Insert full name of {a) Purely Health Care Limited company (b) Insert full name and We (b) addresses Martin Richard Buttriss Richard Frank Simms F A Simms & Partners Limited F A Simms & Partners Limited Alma Park Alma Park Woodway Lane Woodway Lane Claybrooke Parva, Lutterworth Claybrooke Parva, Lutterworth Leicestershire Leicestershire LE17 5FB LE17 5FB United Kingdom United Kingdom {c) Insert date the liquidator(s) of the above-named company attaches a statement of the company’s affairs as at (c) 30 March 2015 BOS sons ate — 30 March 2015 WA For Official Use Presenter's name F A Simms & Partners Limited Liquidation Section Post Room address and reference (if any) Alma Park qm Mn Woodway Lane Claybrooke Parva, Lutterworth Leicestershire LE17 5FB United Kingdom 01/04/2015 #317 COMPANIES HOUSE w Rule 4 34-CVL Form 4 19 Statement of Affairs Purely Health Care Limited Statement as to affairs of Purely Health Care Limited on the 30 March 2015 being a date not more than 14 days before the date of the resolution for winding up Statement of truth Re | believe that the facts stated in this Statement of Affairs are true Full Name Ansay Azad Signed \ Ah Dated 30 March 2015 Signature \ \ aA = Date 30 March 2015 |1 o Purely Health Care Limited A- Summary of Assets Assets Book Value Estimated to Realise Assets subject to fixed charge: Assets Subject to a Floating Charge Cash in Hand 3,600 3,600 Estimated total assets available for preferential creditors 3,600 Signature \ A Date 30 March 2015 Nene A1 — Summary of liabilities Estimated total assets available for preferential creditors (carried from page A) 3,600 Preferential creditors Total Preferential Claim Estimated (deficiency) / surplus as regards preferential creditors 3,600 Debts secured by floating charges Lloyds Commercial Finance 600 600 3,000 Total assets available to unsecured creditors Unsecured non-preferential claims (excluding any shortfall to floating charge holders) Bank - Lloyds Bank Plc Director's Loan - Mr Azad PAYE Trade Creditor (59,629) Estimated (deficiency) / surplus as regards non-preferential creditors £ (56,629) Issued and called up capital Ordinary 100 (100) Estimated total (deficiency) / surplus as regards members (56,729) Signature hs Date 30 March 2015 SS Baty Fe 009 BP 627 095 l sie101 | 932 ¢ZON WYVMGN ‘aAuq feung ‘ed jeumig 0 00 000'23 '@SNOH UOMAN ‘UOR.ES AQUBA|OSU] BUOJEPOA, PY) GUoJePOA [0 | [00 000'013 O89 veg ‘WeYsuluMig ‘peoy PrOYDIE}S OF | pezy v IW | | 009 zLozeo/tz | ainuageg a6seyd 6uneo|4 pue pexi4 | 00 0093 TSE EXO ‘AuyspsO}XO ‘AEM Iy}01g | ON | @OURUIS JEIIALIIOD spol} | HV9 8igd [0 46 923 “spue|pIW ISeAA ‘WeYBuILULG ‘jeejg UO}dwWeH }eaIT yueg spAoy] [ 0 00 000'es NVI SL ‘JeaNS peolg 16 | Saouas juaWwabeueW Uo}dWeY BSP ZENG ‘XeSaIPPIW ‘ONIHLYOM 0 GZ 9Le'9E3 ‘peoy uojbuweg‘asnoy abpug uojBuwng SWOISND YP eNUaAaY WH ‘AQUBAJOSU) 9 JUBWBDIOjUR JUeWaBeUeY] 1qGeq : ON? VZ0S 0 22 €9¢ 23 ‘UOPUDT JQIS Neg 47-69 ‘asnoH suoydejeL paw] dews ie) 00 0S/3 ZNE vLsO ‘yipyeg ‘ApureW ‘ABAA UMOID | asnoyH saiuedwoy “ OSS W793 ‘UOpul7 ‘snag 0 6h cee ss Aungsuty Le ‘asnoy Aungsijes ‘All, Jayeg 0/9 seo usu 3 uaaib Ayunses Ayunoes 40} pos9 JUBL}D jo anjea ajeg Aq pyoy Aqunoas Aue jo sjrejaq | 3qep jo junowy (apooj}sod yim) ssauppy 10 JOJIPSID Jo OWEN : uoissassod s Auedwioo au} ui AUadod Jano aij) Jo UOQUAa}a BUIWUIE}o SJO}IPasJO pue SedIIas 10 SpoO jo A\ddns au) Jo aoueApe ul pied sjunowe Bulwie|s siswiojsnd pue sjuawaebe ayes jeuolpuod jo Buisea} jayeyd ‘aseyound-aiy JapuN suoylpelo Aue Ajuap! pue Suopparo |e apnjoul ysnw no, sa}ON SYOLIGAYD ANVdWOS g AS . , GLO? YueW OZ B1eq » aunyeuBig 00 0013 001 Areuipso | 999 veg ‘'weyburuig 'peoy PIojYyIAIS OF pezy sesuy | saquiaul _ Lane leumoNn | Saueyg jo ON aaeys jo adAy (apoojsod yyim) ssauppy JO JaP[Oyaseys jo awieN SYAEWIAW ANVdWOS 3