Rule 4.34 — CVL 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 [8211533 | (a) inset full name of company Name of Company (a) RHYS MORGAN COFFEE LIMTED (b) Insert full (b) | GARY STONES F.C CA name(s) and STONES & CO address(es) 63 WALTER ROAD SWANSEA SA1 4PT (c) Insert the Liquidator of the above named company attach a Statement of the date Company's Affairs as at (c) 17th April 2015 Signed Co_ fr Dated: 17th April 2015 For Official Use Presenters GARY STONESFCCA Liquidation Section Post Room Name, STONES & CO Address and 63 WALTER ROAD Ref (if any) SWANSEA > SA1 4PT 5x =) GS/LMc/TL/M289 < “AASKGAN?* A12 18/04/2015 #245 COMPANIES HOUSE Rule 4.34 -CVL Form 4.19 STATEMENT OF AFFAIRS Statement as to the Affairs of Rhys Morgan Coffee Limited (Co No 8211533) on the 17th April 2015 being a date not more than 14 days before the resolution for winding up STATEMENT OF TRUTH (a) Insert name | (a) Rhys Andrew Howell-Morgan and occupation Company Director (b) Insert full of (b) 19 Penpentre, Brecon, Address Powys, LD3 8DG believe that the facts stated in this Statement of Affairs are true Full Name Rhys Andrew Howell-Morgan Signed Dated 17th Apri 2015 wey A - Summary of Assets Book Estimated to Value Realise £ £ Assets Subject to Fixed Charge - Assets Subject to Floating Charge:- Uncharged Assets’- Goodwill 3717 Nil Cash at Bank - Realisations Account 4000 4000 Estimated total assets available for Preferential Creditors 4000 (\) \ 17th April 2015 Signature _/ Date A1 — Summary of Liabilities Estimated to Realise £ Estimated total assets available for Preferential Creditors (carned from page A) 4000 Less Liabilities Preferential Creditors.- Estimated deficiency/surplus as regards Preferential Creditors 4000 Estimated Prescribed Part of net property where applicable (to carry forward) Estimated total assets available for Floating Charge holders 4000 Debts secured by Floating Charges Estimated deficiency/surplus of assets after Floating Charges 4000 Estimated Prescribed Part of net property where applicable (brought down) Total assets available to Unsecured Creditors 4000 Unsecured Non-Preferential Claims:- (excluding any shortfall to Floating Charge holders) Trade & Expense Creditors HM Revenue & Customs - PAYE & NIC and VAT HSBC Bank Plc (22960) Estimated deficiency/surplus as regards Non-Preferential (18960) Creditors (excluding any shortfall to Floating Charge holders) Shortfall to Floating Charge holders (brought down) Estimated deficiency/surplus as regards Creditors £ (18960) Issued and Called Up capital:- Ordinary Share of £1 (1) Estimated total deficiency/surplus as regards Members £ (18961) Lo Signature Ca Date 417th Apnl 2015 ae0 ainyeuBbls SL0z dy UZ L 00 O92} a G11 S3SIANAS NOILVXWL 2 00 00S G36 2249 ‘NMIOALNOd ‘dVOY SDGIMGMOO Ef | AONVLINNOSDOV 30VATd ANOL f—9 NN ‘NOLdWWHLYON ‘Wuvd NOLINOW 00 0021 ‘VOY ASNOHYAWWNS Z ‘NOINAWd WAOU G3.LINKN ADYAN3 SNdO aad 00 09 LHO ‘AVYHYNG ‘MOY SONSAGIAOd 'M LNAWLYvd3d O1d 1a SeOLiIdsYoS HSN3dX3 8 AGVeL 00 002 XdZ 0140 ‘4SIGUVO ‘LAAYLS NANO 9s 91d ANVE OSH 193d YNVa 00 00012 48.9989 04L | ——--~ ZZ\ 864N ‘ATLSVOMAN ‘NOLNSE9DNO7 ‘MSIA WeVd ON NOILVYLSIOSY LVA | 00 00002 NON ‘LINN ONMGNVH SWIV1D AON3SATOSNI SWOLSND 8 SNN3AASY WH 96252 800L8 d3uY XVL NOLLVYOdYOo TIN ZZ| 869N ‘ATLSVOMAN ‘NOLNSEONOT ‘MIA WYVd Sb608V1 SZ 43uy SAVd | 00 0001 NOLNA® “LIND ONIONVH SWIV1D AON3ATOSNI SWOLSND 8 ANNSASY WH YOLIGSYS NMOS 3 uanib 3 Aunoes Aunoes JOypalo yop (apoaysod Uyim) quewie|y jo anjea aeq Aq piay Ajunoas Aue jo sjieyeq | jo junowy ssalppy JO JOPPalD jo aweN Uoissessod s,AUedui0o ou ul Apedold Jeno apn JO UOQUa}e) BuILUIE|D SOW|Peso PUe SadIAlas 10 Spaob jo Ajddns ay jo eoueApe ul pied sjunowe Bulwiejs siawoysno pue sjuswea6e ayes (euonipucs Jo Bursea| jayeys ‘aseyound-auly JapuN ssoypaid AyUSp! PUe SJO}PA9 [!@ SPN|oul JSMW NOA :e}ON SYOLIGAYD ANVdNOD a