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    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
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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)




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