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 08343081 Name of Company Club Venue Ltd t/a Kiss & Club Venue We Kate Elizabeth Breese, Oxford Chambers, Oxford Road, Guiseley, Leeds, LS20 9AT the liquidator(s) of the above named company attach a statement of the company affairs as at 13 January 2015 Signed 504 Date 13 January 2015 Walsh Taylor : Oxford Chambers For Official Use - Oxford Road ' Guiseley COMPANIES Hntiec Rule 4 34-CVL Form 4 19 Statement of Affairs Statement as to affairs of Club Venue Lid t/a Kiss & Club Venue on the 13 January 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 STevew Boku Signed 2} A Dated /2B oO7 1s Club Venue Ltd t/a Kiss & Club Venue Statement Of Affairs as at 13 January 2015 A - Summary of Assets Estimated to Assets Book Value Realise £ £ Assets subject to fixed charge Assets subject to floating charge Uncharged assets. Book Debts 3,000 00 3,000 00 Estimated total assets available for preferential creditors 3,000 00 Signature Date ks af Club Venue Ltd t/a Kiss & Club Venue Statement Of Affairs as at 13 January 2015 Ai - Summary of Liabilities Estimated to Realise £ Estimated total assets available for preferential creditors (Carried from Page A) 3,000 00 Liabitities Preferential Creditors - NIL Estimated deficiency/surplus as regards preferential creditors 3,000 00 Debts secured by floating charge pre 15 September 2003 Other Pre 15 September 2003 Floating Charge Creditors NIL 3,000 00 Estimated prescribed part of net property where applicable (to carry forward) NIL Estimated total assets available for floating charge holders 3,000 00 Debts secured by floating charges post 15 September 2003 NIL Estimated deficiency/surptus of assets after floating charges 3,000 00 Estimated prescribed part of net property where applicable (brought down) NIL Total assets available to unsecured creditors 3,000 00 Unsecured non-preferential claims (excluding any shortfall to floating charge holders) Trade & Expense Creditors 54,466 95 HM Revenue & Customs - PAYE/NI 400 00 HM Revenue & Customs - VAT 27,000 00 81,866 95 Estimated deficiency/surplus as regards non-preferential creditors (excluding any shortfall in respect of F.C's post 14 September 2003) (78,866 95) Estimated deficiency/surplus as regards creditors (78,866 95) Issued and called up capital Ordinary Shareholders 100 00 100 00 Estimated total deficiency/surplus as regards members (78,966 95) Signature Date /7 ot Ss Walsh Taylor Club Venue Ltd t/a Kiss & Club Venue B - Company Creditors Key Name Address £ CB00 British Gas Payment Area 60, Camberley, Surrey, GU95 1AW 27,000 00 CBO1 Mrs E Burn 23 Langdale Avenue, Altofts, Normanton, West Yorkshire, WF6 2SB 800 00 ccoo Calderdale Metropolitan Borough Council Town Hail, Crossley Street, Halifax, West Yorkshire, HX1 1UJ 21,000 00 CHOO HM Revenue & Customs - VAT Debt Management, 3rd Floor, Regian House, Liverpool, L74 1AD 27,000 00 CHO1 HM Revenue & Customs - PAYE ICHU, RM BP 3202, Benton Park View Longbenton, Newcastle upon Tyne, NE98 1ZZ 400 00 CHO02 HM Revenue & Customs - CT CT Services, Wolverhampton, CT Services $1001, PO Box 29997, Glasgow, G70 5AB 000 CPO00 Andrew Wilson & Co 26 Missourt Avenue, Salford, Manchester, M50 2NP 000 CP01 Phoenix Commercial Collections Ltd PO Box 2160, Bolton, BL6 9BR 000 CP02 Performing Rights Society Kings Cross, 2 Pancras square, London, N1C 4AG 3,666 95 cwoo Wiltshire & Co 7 Stobb House View, Brandon, Durham, DH7 8SX 2,000 00 10 Entries Totalling 81,866.95 Signature “Page 1 of 1 (PS SQL Ver 2013 07 43 January 2015 13 39 Walsh Taylor Club Venue Ltd t/a Kiss & Club Venue C - Shareholders Key Name Address Pref Ord Other Total HBOO Mr Steven Burn 23 Langdale Avenue, Altofts, Wakefield, WF6 2SB 0 100 0 100 1 Entries Totaliing 100 Signature *Page 1 of 1 IPS SQL Ver 2010 13 January 2015 13 39