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 08203617 Name of Company Four Leaf Taverns Limited t/a Tennants Arms l/We Anthony John Sargeant, 23-24 Westminster Buildings, Theatre Square, Nottingham, NG1 6LG the liquidator(s) of the above named company attach a statement of the company affairs as at 13 May 2015 Signed poet Date 13 May 2015 v Bridgewood Financial Solutions Ltd 23-24 Westminster Buildings Theatre Square Ins Nottingham TUESDAY NG1 6LG “AATRSOUY" ADA 19/05/2015 #140 Ref FOUROIC/AJS/SW/MT/TP COMPANIES HOUSE Software Supplied by Turnkey Computer Technology Limited Glasgow Rule 4 34-CVL Form 4 19 Statement of Affairs Statement as to affairs of Four Leaf Taverns Limited t/a Tennants Arms on the 13 May 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 R. UA . Ouw ee Signed Va A OL Dated \3* Mou4 2™AA5 v Four Leaf Taverns Limited t/a Tennants Arms Statement Of Affairs as at 13 May 2015 A - Summary of Assets Estimated to Assets Book Value Realise £ £ Assets subject to fixed charge: Assets subject to floating charge: Uncharged assets: Refund from Landitord 4,236 00 4,236 00 Estimated total assets available for preferential creditors 4,236 00 Signature Lr On Date (| $2015 Four Leaf Taverns Limited t/a Tennants Arms Statement Of Affairs as at 13 May 2015 At - Summary of Liabilities Estimated to Realise £ Estimated total assets available for preferential creditors (Carried from Page A) 4,236 00 Liabilities Preferential Creditors - NIL Estimated deficiency/surplus as regards preferential creditors 4,236 00 Debts secured by floating charge pre 15 September 2003 Other Pre 15 September 2003 Floating Charge Creditors NIL 4,236 00 Estimated prescribed part of net property where applicable (to carry forward) NIL Estimated total assets avatlable for floating charge holders 4,236 00 Debts secured by floating charges post 15 September 2003 NIL Estimated deficiency/surplus of assets after floating charges 4,236 00 Estimated prescribed part of net property where applicable (brought down) NiL Total assets available to unsecured creditors 4,236 00 Unsecured non-preferential claims (excluding any shortfail to floating charge holders) Trade & Expense Creditors 75,413 00 Employees 1,500 00 Directors 81,831 00 Banks/tnstitutions 11,556 00 ‘ HMRC - PAYE & NIC 40,500 00 HMRC - VAT 26,000 00 206,800 00 Estimated defictency/surplus as regards non-preferential creditors (excluding any shortfall in respect of F C's post 14 September 2003) (202,564 00) Estimated deficiency/surplus as regards creditors (202,564 00) Issued and called up capital Ordinary Shareholders 100 100 Estimated total deficiency/surplus as regards members (202,565 00) Signature Kru OW. 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