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 08510941 Name of Company Symbion Solutions Limited |/We Nigel Price, 3rd Floor, Temple Point, 1 Temple Row, Birmingham, B2 5LG James P N Martin, Black Country House, Rounds Green Road, Oldbury, West Midlands, B69 20G the liquidator(s) of the above named company attach a statement of the company affairs as at 09 January 2015 Signed Date 09 January 2015 \ Begbies Traynor (Central) LLP ard Floor nor ( For Official Use Cm Pigirmluny ee Temple Point In hranay MOO MI 1 Temple Row crows: Software Supplied by Turnkey Computer Technology Limited Glasgow penne ARMM ARES HALICE #123 Rule 4 34-CVL Form 4 19 Statement of Affairs Statement as to affairs of Symbion Solutions Limited on the 9 January 2014 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 Dhithe,. fatrtBe Signed ties Dated G7- 20S Symbion Solutions Limited Statement Of Affairs as at 9 January 2015 A - Summary of Assets Estimated to Assets Book Value Realise £ £ Assets subject to fixed charge Assets subject to floating charge’ Uncharged assets: Office Equipment, Fixtures & Fittings 23,079 00 665 00 Stock 3,000 00 125 00 Book Debts 76,881 00 36,282 00 Cash at Bank 54,541 00 54,541 00 Rent deposit 5,460 00 Uncertain Estimated total assets available for preferential creditors 91,613 00 - Signature pi ker Date Y-/- LW) Symbion Solutions Limited Statement Of Affairs as at 9 January 2015 A1 - Summary of Liabilities Estimated to Realise £ Estimated total assets available for preferential creditors (Carried from Page A) 91,613 00 Liabilities Preferential Creditors - Employees - Arrears/Hol Pay 12,651 00 12,651 00 Estimated deficiency/surplus as regards preferential creditors 78,962 00 Debts secured by floating charge pre 15 September 2003 Other Pre 15 September 2003 Floating Charge Creditors NIL 78,962 00 Estimated prescribed part of net property where applicable (to carry forward) NIL Estimated total assets available for floating charge holders 78,962 00 Debts secured by floating charges post 15 September 2003 NIL Estimated deficiency/surplus of assets after floating charges 78,962 00 Estimated prescribed part of net property where applicable (brought down) NIL Total assets available to unsecured creditors 78,962 00 Unsecured non-preferential claims (excluding any shortfall to floating charge holders) Trade Creditors 33,579 00 Employees - Pay in Lieu of Notice claims 3,888 00 HM Revenue & Customs (PAYE / NIC) 7,587 00 HM Revenue & Customs (VAT) 24,968 00 Directors Loan Account 161,758 00 231,780 00 Estimated deficiency/surpius as regards non-preferential creditors (excluding any shortfall in respect of F.C's post 14 September 2003) (152,818 00) Estimated deficiency/surplus as regards creditors (152,818 00) Issued and called up capital Ordinary Shareholders 100 00 100 00 Estimated total deficiency/surplus as regards members (152,918 00) Signature Wa Date PF -(-LO°F 4€ SL SL0z Arenuer 90 20 £102 8A 10S Sdi SOL -/ -b 740 | a6eg 2 DP 4 aumeubis SU6 ZINN ‘SIUEYON ‘Aqiog ‘peoy uo}Buiyouig dwog sy 00D Ov 25S OdzZ ZV ‘SHEH ‘eas Aaujog ‘Aem abeg Aajpuey ‘21 WUN PF] [291499/9 Wed 00d9 v6 248 XQL 86S ‘Plaweus ‘ZS XOg Od a6ueio 0009 000 OELLZSZEEBL JUNODOY JOWO}SND ‘NAL SNH ‘INH ‘8s XOg Od JaMOd N ZOND 000 Ad? 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