Rule 4.34 -CVL The Insolvency Act 1986 Form 4.20 S.95/99 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 Name of Company [ 09104792 | Lincoln Coffee Company Limited We, Steven Philip Ross lan William Kings Baker Tilly Restructuring and Recovery LLP Baker Tilly Restructuring and Recovery LLP 1 St James’ Gate 1 St James’ Gate Newcastle upon Tyne NE1 4AD Newcastle upon Tyne NEI 4AD the liquidator the above-named company attach a statement of the company’s affairs as at 15 201 4 ~~ Sighed Steven Philip Ross lan William Kings Dated 18 May 2015 i Baker Tilly Restructuring and Recovery LLP 1 St James’ Gate Newcastle upon Tyne NEI 4AD Ref SPR/IWK/KA/LAH/ For Official Use UNO i pansiots #249 COMPANIES HOUSE ‘ Rule 4 34-CVL Form4 19 Statement of Affairs LINCOLN COFFEE COMPANY LIMITED Statement as to affairs of Lincoln Coffee Company Limited on the 15th day of May 2015 being a date not more than 14 days before the date of the resolution for winding up Statement of Truth I believe that the facts stated in this Statement of Affairs are true Full Name Milligan, Louise Signed |_ |-— Dated IS/S [1g 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 Cash at Bank 4,628 4,628 Available to preferential creditors 4,628 4,628 Signature LI Date is[s is Al —- SUMMARY OF LIABILITIES Estimated to Realise £ £ Estimated total assets available for preferential creditors 4,628 Liabilities Wages (1,231) Holiday Pay (1,327) (2,558) Estimated Surplus (Deficiency) as regards preferential creditors 2,070 Estimated total assets available for floating charge holders 2,070 Debts secured by floating charge 0 Total assets available to unsecured creditors 2,070 Unsecured non-preferential claims (excluding any shortfall to floating charge holders) Employees (7,182) HM Revenue and Customs (8,260) Trade and Expense Creditors (4,594) (20,036) Estimated Surplus (Deficiency) as regards non preferential creditors (17,966) (excluding any shortfall to floating charge holders) Share Capital Ordinary (ld) qd) Estimated Surplus (Deficiency) as regards members (17,967) Signature Ly Date S [5 [is 000 $8 POLbP CV?t IAN 2UAT, uodn apseoman aD ,souler ig [ 0/3 (SW) B1d1eg “oun | Of0 ELAN JROAN 000 000 7 aud] peaysaiey ‘AayjeA weay ‘Aemsdury ‘osnoy Jaysysury aoueRiNsu] on pue ppoL (SLU) 000 bl 208°7 TIz ZHA Y8nquipy yeas ad10aH | SJUSUISSAU] AJIT PILpULIS 000 000 dOl TAN aud] uodn ajjseoman puouisar ‘ooellay puelyog Ze sjugjunodsy uojua[H youoky 00 0 0S Lez CV? 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