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 08442513 Name of Company Tandem Leisure Limited 1/We 4 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 12 May 2015 Signed Date 12 May 2015 1 ‘ WA 7 v Bridgewood Financial Solutions Lid , 23-24 Westminster Buildings Theatre Square Insolvency Nottingham > NG1 6LG < “4 > < “AATJIFLK™ Ref TANDO1C/AJS/SW/EF/TP Ma AG 16/05/2015 #224 COMPANIES HOUSE Software Supplied by Turnkey Computer Technology Limited Glasgow 1 * Rule 434-CVL Form 4 19 Statement of Affairs Statement as to affairs of Tandem Leisure Limited on the 12 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 Thy AS kta Signed 2D Dated i2Is)is Tandem Leisure Limited Statement Of Affairs as at 12 May 2015 A - Summary of Assets Estimated to Assets Book Value Realise £ £ Assets subject to fixed charge: Assets subject to floating charge’ Uncharged assets: Furniture & Equipment 2,791 00 2,791 00 Stock 8,072 00 8,072 00 Credit Note from Enterprise Inns 1,700 00 1,700 00 Cash at Bank 500 00 500 00 Goodwill 2,500 00 2,500 00 Estimated total assets available for preferential creditors 15,563 00 f Signature G2 Date 2] = fi s XV Tandem Leisure Limited Statement Of Affairs as at 12 May 2015 Ai - Summary of Liabilities Estimated to Realise £ Estimated total assets available for preferential creditors (Carried from Page A) 15,563 00 t Liabilities Preferential Creditors - : NIL Estimated deficiency/surplus as regards preferential creditors 15,563 00 Debts secured by floating charge pre 15 September 2003 Other Pre 15 September 2003 Floating Charge Creditors NIL 15,563 00 Estimated prescribed part of net property where applicable (to carry forward) NIL Estimated total assets available for floating charge holders 15,563 00 Debts secured by floating charges post 15 September 2003 NiL Estimated defictency/surplus of assets after floating charges 15,563 00 Estimated prescribed part of net property where applicable (brought down) NiL Total assets available to unsecured creditors 15,563 00 Unsecured non-preferentiai claims (excluding any shortfall to floating charge holders) Trade & Expense Creditors 119,985 40 HMRC - Machine Gaming Duty 5,053 62 HMRC - PAYE & NIC 23,212 43 HMRC - VAT 163,315 95 301,567 40 Estimated deficiency/surplus as regards non-preferential creditors (excluding any shortfall in respect of F.C’s post 14 September 2003) (286,004 40) Estimated deficiency/surplus as regards creditors (286,004 40) issued and called up capital Ordinary Shareholders 100 00 100 00 Estimated tota! deficiency/surplus as regards members (286,104 40) i Signature jé2z—> Date '2 15) is Br 60 LOZ AEW LL £0 €102 8A 10S Sdl £40 | o6eq qQ2l aunyeubis 00 000'ZL adz LS ‘Playas ‘peoy ajepfeqqy ‘sasnoujliW ayy 0/9 02 2be IY SEWOYL LOHd NOP L9S ‘weWwayjoy ‘aue] asnoyuig SIE}BW OM 00ND JS¢ 2LN@ Z9 €S0'S ‘Bulyyony ‘peoy uojBuiweg ‘asnoy afpiig uojButung ‘adIAas sjuawabueuy AejUNjOA, (Buiwes) swojysn5 9 anuaaay WH ZOHO AS? 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