Rules 4.34-CVL The Insolvency Act 1986 Form 4.20 Statement of Company’s Affairs . Pursuant to Section 95/99 of the S.95/99 insolvency Act 1986 For Official Use To the Registrar of Companies Company Number [ 08861113 | Name of Company (a) Insert full name of (a) R H (N Home) Ltd company (b) insert full name(s) 1, (b) Andrew Rosier and address(es) Ideal Corporate Solutions Limited Third Floor St Georges House St Georges Road Bolton BL1 2DD the Liquidator of the above named company, attach a statement of the company’s affairs (c) Insert date as at (c) 21 May 2015 Signed Date é SS c— 4 2..83.S8 Presenter’s Andrew Rosler For Official Use name, address Bolton Liquidati achan Bact Ranm and reference (if Third Floor any) St George’s House St George’s Road Bolton BL1 2DD R6174 *A4A5USTV" A22 23/06/2015 #262 COMPANIES HOUSE Rule 4 34-CVL Form 4 19 Statement of Affairs RH (N HOME) LTD Statement as to affairs of R H (N Home) Ltd on the 21 May 2015 being a date not more than 14 days before the date of the resolution for winding up Statement of Truth | belhteve that the facts stated in this Statement of Affairs are true Full Name Mr Atique Rehman Signed Dated 21/5/51 Signatur A - SUMMARY OF ASSETS Book Value Estimated to Realise £ £ Assets Subject to Specific Charge Assets Subject to Fixed Charge Assets Subject to Floating Charge Assets not Subject to Charge Available to preferential creditors 0 0 Signa! Wey Date aus fis A1— SUMMARY OF LIABILITIES Estimated to Realise £ £ Estimated total assets available for preferential creditors 0 Liabilities Wages (23,426) Holiday Pay (5,570) (28,997) | Estimated Surplus (Deficiency) as regards preferential (28,997) creditors Estimated total assets available for floating charge holders NIL Floating Charge Claims 0 Total assets available to unsecured creditors NIL Unsecured non-preferential claims Employees (93,351) HM Revenue and Customs (77,000) Trade and Expense Creditors (31,677) Deficiency in Preferential Claims (b/d) (28,997) (231,025) Estimated Surplus (Deficiency) Unsecured creditors (231,025) Share Capital Ordinary (1) (1) Estimated Surplus (Deficiency) as regards members (231,026) Signature. ate Zak s/s B COMPANY CREDITORS - R H (N HOME) LTD NOTE You must include all creditors and identify any creditors under hire-purchase, chattel leasing or conditional sale agreements and customers claiming amounts paid in advance of the supply of goods or services and creditors claiming retention of title over property in the company’s possession Name of creditor or | Address (with postcode) Amount of | Details of Date Value of claimant debt £ | any security | security security £ held given ABCS Ltd Derwent House, Alexandra 98 80 000 Road Wallasey CH45 OJE Adegbite, Gloria (Mrs) | 50 Gravenmore Drive Salford 4,302 63 000 MDi 4YW Atredale Protection 6 Thornber Bank, Silsden 280 20 000 Services Keighley BD20 8PH Akhtar, Mussarat 3 Eagle Street Kerghley BD21 547 20 000 (Me) 2BX Alexander, Simmi 30 Braithwaite Avenue 86 40 000 (Mrs) Keighley BD22 6EU Allen, Rita {Ms} 10 East Terrace, Crossroads 1,175 79 000 Keighley BD22 9EL Alpine Group Azure House, Connaught 393 60 000 Road, Kingswood Hull HU7 3AP Archibald, Gemma 16 Tennyson Avenue, 1,008 00 000 (Ms) Sowerby Bridge HX6 1BY Avail Bradford Accent Business Centre, 2,700 00 000 Barkerend Road Bradford BD3 9BD Baywater Healthcare | 2 Millenmium Gate, Westmere 667 76 000 Drive Crewe CH1 6XB Blackie, Elizabeth 11 Campbell Street , 6,507 60 000 (Ms) Crosshills Keighley BD20 8AR Bolledu, Mary (Ms) 15 Ings Road, Steeton 7,034 28 000 Keighley BD20 6RG Browne, Tina (Ms) 3 Riverside Keighley BD21 345 60 000 4JP Connell, Daniel (Mr) 12 Hilltop, Steeton Keighley 8,841 26 000 BD20 6QA Deegan, Anne (Ms) 5 Lister Hill Sutton-in-Craven 91377 000 BD20 7PD Dickinson, Danielle 5 Greenroyd Drive, Sutton-in- 4,605 25 000 (Ms) Craven Keighley BD20 7JL Elders, Jane (Ms) 25 Farley Cresent Oakworth 2,619 76 000 BD22 7SH Emmott, Lucy (Ms) 44 Whin Knoll Avenue 1,382 40 000 Keighley BD21 2HX Euro Digital Systems | Enterprise House, Guinness 91 47 000 Ltd Road, Trafford Park Manchester M17 1SG Fletcher, Sharon (Ms) | 9 Wellington Street 000 000 Barnoldswick BB18 5AY Frith, Kerry (Ms) 5 Highroad Well Lane Halifax 683 02 000 HX2 OLZ Gazprom Energy 5th Floor, 27 Quay Street 1,903 51 000 Manchester M3 3GY Gompels Healthcare | 1 Swift Way, Bowerhill 548 92 000 Industrial Estate, Melksham Wiltshire SN12 6GY Healthcare Martin Mill, Walker Lane, 420 00 000 Businessm Vivas Hebden Bridge West Publications Yorkshire HX7 8SJ c — — Signature Date 2( [s/s Name of creditor or | Address (with postcode) Amount of | Details of Date Value of claimant debt £ | any security | security security £ held given HKS Consultancy 65 Scotland Road, Nelson 9,000 00 000 Group Lancashire BBQ 7UY HM Revenue & Durrington Bridge House, 77,000 00 000 Customs Barrington Road Worthing BN12 4SE Johnson, Hannah 12 Walton Street Sutton-in- 1,706 40 000 (Ms) Craven BD20 8DL Jose, Renyth 28 Westbrook Vale, 518 40 000 Evercreech, Shedtonmallet Somerset BA4 6JN Jose, Sindhu 13 Shann Cresent Keighley 2,206 05 000 BD21 2TN Kamath, Prakash 28 Clayton Road Bradford 436 80 000 BD7 2LT Kanaghasabay, 9 Daffodil Close, Shawclough 000 000 Sweepoh Rochdale OL12 6NY. Kauser, Sobya 4 Bronte Street Keighley 2,173 43 000 BD21 4BD Kirk, Sophie (Ms) 31 York Street Queensbury 1,749 60 0 00 BD13 2EN Korah, Jackson (Mr) 30 Braithwaite Avenue 2,289 60 000 Keighley BD22 6EU Letsie, Portia (Miss) 15 Chelsea Street Keighley 1,771 20 000 BD211DR Local Careforce C/o Bibby Factors Ltd, 4,100 00 000 Woodland House, Woodland Park Bradford BD19 6BW Matthew, By) (Mr) 40 North Debe Avenue 000 000 Keighley BD22 6QL Maude, Sally (Ms) 23 Rosemount Court Sutton- 2,030 40 000 In-Craven BD20 7PG Mawson, Philip (Mr) 12 Sunmoor Drive Skipton 1,368 00 000 BD23 2JS McGrath, Kevin (Mr) 13 Stradmore Road 4,248 00 000 Denholme BD13 3BX NHS Airedale Millenium Business Park, 239 12 0 00 Wharfdale Craven Station Road, Steeton CCG Keighley BD20 6QW Nkayibi, Wayt-Way 5 Newclose Road, Shipley 000 000 Nabwood BD21 4AB Paul, Aneesh (Mr) 31 Manor Drive Bingley BD16 000 000 4PL Pearson Anderson Third Floor, Edward Buildings, 7,000 00 000 21 Rutland Street Leicester LE1 1RB Rani, Reena (Ms) 10 Harewood Avenue, 5,640 06 000 Eastburn Keighley BD20 8UQ Redundancy Cobalt Square, 83-85 Hagley 000 000 Payments Office Road Birmingham B16 8QG Reynard, Eiran (Miss) | 28 Greenfield Garden 3,380 59 000 Eastburn BD20 7SP Robinson, Amanda 7 Bungalow Road, Gilsburn 000 000 (Ms) North Yorks BD20 70Q Rowland, Julie (Ms) 34 Whin Knoll Avenue 4,846 10 000 Keighley BD21 2HX Shackleton, Pamela 31 Dawson Road Keighley 7,381 40 000 (Ms) BD21 5PH Shakil, Hurria 127 North Dean Road 165 60 0 00 Keighley BD22 6QT smo PA — 25/5 Name of creditor or | Address (with postcode) Amount of | Details of Date Value of claimant debt £ | any security | security security £ held given Shoesmith, Susan 3 Compeigne Avenue, 936 00 000 (Ms) Riddlesden Keighley BD21 4EU Smith, Elizabeth (Ms) | 127 Clough Lane, Mixenden 8,817 88 000 - _. Halifax HX2 8SN Smith, Sandra (Ms) 32 Bogthorn, Oakworth 3,275 22 000 Keighley BD22 7LU Splash Aquatics 29 Keighley Road, Skipton 38 41 000 Bradford BD23 2LX SRCL Indigo House, Sussxe Avenue 859 41 000 Leeds LS10 2LF Staff Nurse com RJC Business Park, 250 300 00 000 Derwent House, London Road Derby DE24 8JP Stokes, Kenneth (Mr) | 31 Dawson Road Keighley 6,398 60 000 BD21 5PH Storton, Rebecca 2 Sun Street, Eastburn 12,923 75 000 (Ms) Keighley BD20 8UR Szabo, Hajnal 156 Hainworth Wood Road, 3,565 56 000 Spring Bank Keighley BD21 5DEF Tempcare Bardford Cahmber Business 4,500 00 000 Park, New Lane Bradford BD4 8BX Thompson, Amanda Flat 3 , Chaingate House, 13- 6,169 60 000 (Ms) 21 Low Street Keighley BD16 4PL Tumer, Victoria (Ms) 33 Valley View Close, 000 000 Bogthorn Oakworth BD22 7LZ Wall, Jessica (Ms) 7 Bracken Bank Avenue 1,296 00 000 Keighley BD22 7AA Yorkshire Water PO Box 52, Broadacre House 1,536 19 000 Bradford BD1 5RQ ko Signat Signature —< coe ZENS C SHAREHOLDERS - R H (N HOME) LTD No Name of Address Type of Nominal | Number of | Amount per Total shareholder (with shares amount of | shares held | share called amount postcode) held share £ £ up€£ | called up£ Atique 6 Park Drive Ordinary 100 1 100 100 Rehman Heaton Bradford BD9 4DR Total. 1.00 Signat ate afofis