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 08676754 Name of Company Clark Hospitality Limited t/a The Old Hail |/We Kevin Lucas, 32 Stamford Street, Altrincham, Cheshire, WA14 1EY the liquidator(s) of the above named company attach a statement of the company affairs as at 16 January 2015 Signed on Date 16 January 2015 Lucas Johnson Limited u i “7 AN 32 Stamford Street 20/01/2015 #4 Ref C0028/KLAVT/HS COMPANIES HOUSE Software Supplied by Turnkey Computer Technology Limited Glasgow . Rule 4 34-CVL Form 419 Statement of Affairs Statement as to affairs of Clark Hospitality Limited t/a The Old Hall on the 16 January 2015 the date of the resolution for winding up Statement of truth 1 believe that the facts stated in this Statement of Affairs are true Name CAuinl Hucu CicriAaan Crakk Full Signed Gti Dated fi lasts. + Clark Hospitality Limited t/a The Old Hall Statement Of Affairs as at 16 January 2015 A- Summaryof Assets Estimated to Assets Book Value Realise £ £ Assets subject to fixed charge: Assets subject to floating charge: Uncharged assets’ Cash at Bank 6,000 00 6,000 00 Estimated total assets available for preferential creditors 6,000 00 Signature ZN Date tel, (b5 Clark Hospitality Limited t/a The Old Hall Statement Of Affairs as at 16 January 2015 At - Summary of Liabilities Estimated to Realise £ Estimated total assets available for preferential creditors (Carried from Page A) 6,000 00 Liabilities Preferential Creditors - Employee Arrears/Hol Pay 7,500 00 7,500 00 Estimated deficiency/surplus as regards preferential creditors {1,500 00) Debts secured by floating charge pre 15 September 2003 Other Pre 15 September 2003 Fioating Charge Creditors NIL (1,500 00) Estimated prescribed part of net property where applicable (to carry forward) NIL Estimated total assets available for floating charge holders (1,500 00) Debts secured by floating charges post 15 September 2003 NIL Estimated deficiency/surplus of assets after floating charges (1,500 00) Estimated prescribed part of net property where applicable (brought down) NIL Total assets available to unsecured creditors (1,500 00) Unsecured non-preferential claims (excluding any shortfalt to floating charge holders) Trade & Expense Creditors 800 00 Directors Loan - Mr G Clark 500 00 HM Revenue & Customs - PAYE/NIC 12,000 00 HM Revenue & Customs - VAT 13,000 00 26,300 00 Estimated deficiency/surplus as regards non-preferential creditors (excluding any shortfall in respect of F C's post 14 September 2003) (27,800 00) Estimated deficiency/surplus as regards creditors (27,800 00) Issued and called up capital Ordinary Shareholders 100 1 00 Estimated total deficiency/surplus as regards members 27,801 00 4 Signature (as Date Ve Cc \ 11 wan 9% TL STO? Asenuer gt OT ptOe 438A TOS Sd) Tyo T a8eq UY aunqeusis 00'00¢'9z Suyleyo. sauqug py 00 008 Zd¥ 7D ‘Moase| ‘123195 eipul TZ ‘ASNOY syjNIyZog ‘WUT UOHesIZay |euUonHeN (QDI) Aing sawes auiyseyy OOWD 00 000‘ZT 7ZT 863N ‘UA LOA ajpseamay ‘UojUaqsU0} ‘mal, ued UOJUAG ‘ZOZE dg WoOY NH 0019 00 000‘ET VP bZ1 ‘oodsanr ‘y0q suaand ‘00/4 pug ‘WUN AdUaAjosu] jeuOITeN AVA - Swoysn} 9B anUaAaY WH Z0HD 00 00S LST PTV ‘eaysayp ‘weysuiyy Jee BuO IA ‘SjuaWedy e10791A, ZT 42/9 5 JW 009) # ssauppy awey Aay ssoqpasy Auedwoy - 9g HEH PIO AYL &/3 pay Aqwerydsoy yzeID pau] uosuyor sean] ~-" 9f TT Stoz Arenuer of OTOZ 9A 10S Sdl TjO 1 afeg aunjeugis T Suipeyos sen3uq T T 0 T 0 23T PLM “ealysay9 ‘weysuiiypy dads EOI, ‘sjUaWIedy eLOIIIA /T AED UIA IIA 009H Jezoy 4910 P10 JPtd ssaippy awen Aay siapjoyaueys - > ; HEH PIO aut e/} paw Ayyeydsoy y4e19 paywiry uosuyor sean