Form 4.20 Rute 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 08360458 Name of Company Coles Leisure Limited 1/ We Timothy Frank Corfield, 26/28 Goodall Street, Walsall, West Midlands, WS1 1QL the liquidator(s) of the above named company attach a statement of the company affairs as at 15 January 2015 Signed mee Date 29 January 2015 — HN Griffin & King Insolvency - 26/28 Goodall Street For Official Use Walsall Insc FRIDAY Ref COLS509/TFC/SJN 30/07/2015 Software Supplied by Turnkey Computer Technology Limited Glasgow COMPANIES HOUSE Rule 4 34-CVL Form 4 19 Statement of Affairs Statement as to affairs of 4 Coles Leisure Limited on the 15 January 2015 the date of the resolution for winding up Statement of truth | belleve that the facts stated in this Statement of Affairs are true “ Full Name Spud S7ERd- Signed = GE Dated 29-\-1S° Coles Leisure Limited Statement Of Affairs as at 15 January 2015 A - Summary of Assets Estimated to Assets Book Value Realise £ £ Assets subject to fixed charge’ Assets subject to floating charge Uncharged assets: Lease premium unexpired term 10,000 00 NIL Book Debts Sale of assets 2,816 00 2,346 67 Cash in hand 3,000 00 3,000 00 Estimated total assets available for preferential creditors 5,346 67 Signature S$ GE pate 2Z4-\-IS Coles Leisure Limited Statement Of Affairs as at 15 January 2015 A1 - Summary of Liabilities Estimated to Realise £ Estimated total assets available for preferential creditors (Carried from Page A) 5,346 67 Liabilities Preferential Creditors - NIL Estimated deficiency/surplus as regards preferential creditors 5,346 67 Debts secured by floating charge pre 15 September 2003 Other Pre 15 September 2003 Floating Charge Creditors NIL 5,346 67 Estimated prescribed part of net property where applicable (to carry forward) NIL Estimated total assets available for floating charge holders 5,346 67 Debts secured by floating charges post 15 September 2003 NIL Estimated deficiency/surplus of assets after floating charges 5,346 67 Estimated prescribed part of net property where applicable (brought down) NIL Total assets available to unsecured creditors 5,346 67 Unsecured non-preferential claims (excluding any shortfall to floating charge holders) Trade & Expense Creditors 17,173 20 Directors' Loan Account 76,641 00 HMRC PAYE & Ni 142 00 HMRC VAT 3,691 35 97,647 55 Estimated deficiency/surplus as regards non-preferential creditors (excluding any shortfall in respect of F.C’s post 14 September 2003) (92,300 88) Estimated deficiency/surplus as regards creditors (92,300 88) Issued and called up capital Ordinary Shareholders 100 00 100 00 Estimated total deficiency/surplus as regards members (92,400 88) Signature +s LV Date 29-(-1S * ‘ Griffin & King Insolvency Coles Leisure Limited A5 - Unsecured Creditors Statement of Affairs Figures Key Name £ CBOO BT pic 600 00 Dept W Durham TE Providence Row Durham DH11RR CBO1 British Gas Business 2,720 40 Spinneyside Penman Way Grove Park Leicester LE19 1FZ CCAN Cannock Chase District Council 12,827 00 Civic Centre Beecroft Road Cannock WS11 1BG CCLS Credit Security Limited 000 Old House, Church Headland Lane Whitchurch Aylesbury Buckinghamshire HP22 4JX CE0O €-on 25 80 Insolvency Team Trinity House 2 Burton Street Nottingham NG1 4BX CHOO HM Revenue & Customs - VAT 3,691 35 National Insolvency Unit 5th Floor Regian House Liverpool L74 1AD CHO1 HM Revenue & Customs - PAYE 142 00 RM BP 3202 Benton Park View Longbenton Newcastle Upon Tyne NE98 1ZZ CPRS Performing Rights Society 1,000 00 2 Pancras Square London N1C 4AG Signature SQ Page 1 of 2 IPS SQL Ver 2010 28 January 2015 14 34 Griffin & King Insolvency Coles Leisure Limited A5 - Unsecured Creditors Statement of Affairs Figures Key Name £ csoo South Staffs Water pic 000 Green Lane Walsall West Midlands WS2 7PD CSTE @Mr J A P Stead 76,641 00 Flat 1 16A Upper Brook Street Rugeley Staffordshire WS15 2DN 10 Entries Totalling 97,647.55 @ - Denotes associate creditor Signature Ss LG i™ Page 2 of 2 IPS SQL Ver 2010 28 January 2015 14 34