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 09014475 Name of Company Peppercorn Hospitality Limited 7 1/We Timothy Frank Corfield, 26/28 Goodall Street, Walsall, West Midlands, WS1 1QL o f the liquidator(s) of the above named company attach a statement of the company affairs as at 28 January 2015 oY Signed — CL -“ Date 28 January 2015 —_— Griffin & King Insolvency ae For Official Use 26/28 Goodall Street IITA Walsall Ins FRIDAY Ref PEPS0O1/TFC 30/01/2015 #111 Software Supphed by Turnkey Computer Technology Limited Glasgow COMPANIES HOUSE Rule 4 34-CVL Form 4 19 Statement of Affairs Statement as to affairs of Peppercorn Hospitality Limited on the 28 January 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 fPPETIR MATE Signed y/ Via Dated 2¢/orl 201 Peppercorn Hospitality Limited Statement Of Affairs as at 28 January 2015 A- Summary of Assets Estimated to Assets Book Value Realise £ £ Assets subject to fixed charge Assets subject to floating charge Uncharged assets: Barclays Bank Plc 45 00 Uncertain Estimated total assets available for preferential creditors NIL } o Signature : Date 28/or 201 \ _ Peppercorn Hospitality Limited Statement Of Affairs as at 28 January 2015 A1 - Summary of Liabilities Estimated to Realise £ Estimated total assets available for preferential creditors (Carried from Page A) NIL Liabilities Preferential Creditors - NIL Estimated deficiency/surplus as regards preferenttal creditors NIL Debts secured by floating charge pre 15 September 2003 Other Pre 15 September 2003 Floating Charge Creditors NIL NIL Estimated prescribed part of net property where applicable (to carry forward) NIL Estimated total assets available for floating charge holders NIL Debts secured by floating charges post 15 September 2003 NIL Estimated deficiency/surplus of assets after floating charges NIL Estimated prescribed part of net property where applicable (brought down) NIL Total assets available to unsecured creditors NIL Unsecured non-preferential claims (excluding any shortfall to floating charge holders) Trade & Expense Creditors 25,435 00 Directors Loan Account - Pratik Hate 21,000 00 H M Revenue & Customs - VAT 9,000 00 H M Revenue & Customs - PAYE 2,500 00 57,935 00 Estimated deficiency/surplus as regards non-preferential creditors (excluding any shortfall in respect of F.C’s post 14 September 2003) (57,935 00) Estimated deficiency/surplus as regards creditors (57,935 00) Issued and called up capital Ordinary Shareholders (1 00) (1.00) Estimated total deficiency/surplus as regards members (57,934 00) _ Signature f