Rule 4 34-CVL The Insolvency Act 1986 Form 4 20 5.95|99 STATEMENT OF COMPANY'S AFFAIRS Pursuant to Section 95/99 of the Insolvency Act 1986 For official use Company Number 08163868 To the Registrar of Companies Company Number | X FIT GYM (CHORLEY) LIMITED [Insert full name(s) and address(es)] |, J M Titley of Leonard Curtis, Hollins Mount, Hollins Lane, Bury, BL9 8DG, the Joint Liquidator of the above named Company, attach a statement of the Company's affairs as at 10 April 2014 Signed JyBey Date 10 April 2014 Presentor's name, address and reference (if any) For official use Leonard Curtis Hollins Mount Bury BL9 8DG For official use ANT > < a n Ww z (=) w *A37DB = ovrosreor4 #214 COMPANIES HOUSE Form 4 19 Rule 4 34-CVL Statement of Affairs Statement as to affairs of X FIT GYM (CHORLEY) LIMITED on the 10 April 2014 being a date not more than 14 days before 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 Alan Tour Ley Signed boner soc OA | ZOWY CVLMF419 06-04 10 X FIT GYM (CHORLEY) LIMITED - APPENDIX | DIRECTOR’S ESTIMATED STATEMENT OF AFFAIRS AS AT 10 APRIL 2014 Book value Estimated to Realise Note £ £ £ £ Assets Specifically Pledged None 1 Nil Ni less Secured Creditor 1 (Nil} (Nil) Surplus / (Shortfall) c/fwd (Nil) (Nil) Assets Not Specifically Pledged Plant & Equipment 2 12,000 5,000 Cash at Bank 2 1 1 12,001 5,001 Preferential Creditors Employee Claims / ERA 2006 Claims (est } 3 (Nu) (Ni) Net Property available for Prescribed Part* 12,001 5,001 Less Prescribed Part 4 (Nia) (N/a) Available for Floating Charge Creditor 42,001 5,001 Shortfall b/wd (Nil) (Nil) Surplus / (Shortfall) c/fwd 12,001 5,001 Add Prescnbed Part 4 Nia Na Available for Ordinary Unsecured Creditors 12,001 5,001 Ordinary Unsecured creditors Employee Claims / ERA 2006 Claims (est } 3 (Nil (Nil} H M Revenue & Customs - PAYE / NI (est) 5 (3,500) (3,500) HM Revenue & Customs - VAT (est ) 5 (7,000) (7,000) Trade and Expense Creditors (est ) 6 (20,145) (20,145) Total Ordinary Unsecured Creditors (30,145) (30,145) Estimated Deficiency as regards Creditors (18,144) (25,144) Issued share capital (1) (1) Estimated Deficiency as regards Members (18,145) (25,145) Signed A (LA 10 April 2014 Mr Alan om X FIT GYM (CHORLEY) LIMITED - oe - _— --- + -- APPENDIX J NOTES TO THE ESTIMATED STATEMENT OF AFFAIRS All book values have been taken from the Company's latest financial information or from valuations obtained from independent valuation agents It should be noted that no provision has been made for the costs of preparation of the same, the costs of convening the meetings of members and creditors, agents’ costs or the costs and expenses of the Liquidation 1. Assets Specifically Pledged There are no assets 2. Assets Not Specifically Pledged Plant & Equipment The book value & estimated to realise value of the plant & equipment has been provided by the director from information extracted from the Company's books & records Cash at Bank The book value & estimated to realise value of the cash at bank has been provided by the director from information extracted from the Company's books & records 3. Employee Claims / ERA’2006 Claims (est.) Where applicable, employees will be entitled to make claims (subject to certain limits) under the Employment Rights Act 2006 (ERA’2006) from the government department known as the Redundancy Payments Service (‘RPS’) The Employee claims may include arrears of pay, holiday pay, compensation in lieu of notice and redundancy Where applicable, the RPS will make payments directly to the employees and then the RPS will then lodge a claim against the Company in respect of the payments it has made Employee Claims / ERA'2006 have been estimated for the purposes of the statement of affairs and are not considered as agreed amounts 4. Prescribed Part As the Company has no unsatisfied post-Enterpnse Act charges, there will be no requirement to set aside a prescnbed part in this case 5. H M Revenue & Customs — PAYE / NI & VAT The liability to HMRC in respect of unpaid PAYE, NIC and VAT has been extracted from the Company's books and records as provided by the director A detailed hist of these amounts has been provided at Appendix Ill The amounts shown should not be regarded as agreed 6. Trade and Expense Creditors Details of the Company's trade and expense creditors have been extracted from the Company's books and records as provided by the director A detailed lst of these amounts has been provided at Appendix Ill The amounts shown should not be regarded as agreed Signed On 10 April 2014 Mr Alan Towntey ” XFITGYM {CHORLEY) LIMITED - -- Y APPENDIX III SCHEDULE OF CREDITORS See attached list Signed A 10 April 2014 Mr Alan Townley B- Company Creditors Code Name & Address Amount of Debt C0001 Chorley Council 1,500 00 PO Box 13 Chorley PR7 1AR c0002 Anthony Ratcliffe 5,000 00 6 Marlow Court Adlington PR7 4LE C0003 United Uthtes 1,120 00 PO Box 50 Warrington WASS 1AQ C0004 Swinton Insurance 800 00 3 Grimshaw Street Burntey Lancashire BBt1 2AS C0005 HM Revenue & Customs - PAYE / NIC 3,500 00 Accounts Office Cumbernauld Cumbernauld Glasgow G67 1YZ C0006 HM Revenue & Customs VAT 7,000 00 Alexander House 21 Victoria Avenue South End on Sea $899 1AB C0007 E-On 1,765 00 PO Box 123 Nottingham NG1 6HO 9999 British Gas 9,960 00 Penman Way Grove Park Leicester LE19 1ZE £30,645 00 saab’ sade (OL4 X004Q Page 1/1 Printed on 10 Apr 2014 at 10 36