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        Rule 4.34                                                                                                          Form 4.20


                             The Insolvency Act 1986


                             Statement of Company’s Affairs                               S          2 9        5/9               9
                             Pursuant to section 95/99 of the Insolvency Act
                             1986

                                                                                                               For Official Use
                              To the Registrar of Companies


                                                                                                               Company Number
                                                                                                           [        02359500

                                        Name of Company
        (a) Insert full name of         (a) EBS COOP Limited By Guarantee
        company



        (b) Insert full name and        We   (b)
|       addresses                       Carolynn Jean Best                          Richard Frank Simms
    I                                   F A Simms & Partners Limited                F A Simms & Partners Limited
                                        Pioneer House                               Pioneer House
                                        39 Station Road                             39 Station Road
                                        Lutterworth                                 Lutterworth
                                        Leicestershire                              Leicestershire
                                        LE17       4AP                              LE17 4AP
                                        United Kingdom                              United Kingdom

        (c) Insert date                 the liquidator(s) of the above-named company attaches a statement of the company’s
                                        affairs as at (c) 24 April 2014

                                                                       \

                                        Signed           Sea
                                                         C                           Date _ 24 April 2014
                                                                           \ INN
                                                                                               For Official Use
        aie and same.                   F A Simms & Partners Limited             Liquidation Section                Post Room
        address  reference
        (fany)                          Pioneer House
                                        39 Station Road
                                        Lutterworth
                                        Leicestershire
                                        LE17 4AP
                                        United Kingdom
                                                                                                           *A36SWMPN*
                                                                                               A06         29/04/2014             #136
                                                                                                       COMPANIES HOUSE
Rule434-CVL   ©                                              wa                        Form 4 19

                  Statement of Affairs

                  EBS COOP        Limited By Guarantee


                  on the 24 April 2014 being a date not more than 14 days before the date of the
                  resolution for winding up




                          Statement of truth


                          | believe that the facts stated in this Statement of Affairs are true

                          FullName         S7FONSVY        PAU     BELSEY

                          Signed                <A
                          Dated                Ou    ly]     Ve




Signature
                  56a
            Sr       ae                                           Date 24 April 2014
EBS COOP     Limited By Guarantee

A - Summary of Assets

Assets                                                        Book Value              Estimated to Realise

Assets subject to fixed charge:
                                                                           Nil              Ni



Assets:
 Cash in Hand                                                         2,750                                  2,750
 Debtors                                                                150                                    113
 Unpaid Capital                                                            2                                      2


Estimated total assets available for preferential creditors                                                  2,865




Signature.   ZZ                                                  Date 24 April 2014
Ail - Summary of tiabilities




Estimated total assets available for preferential creditors                                                2,865
(carried from page A)

Preferential creditors’
Employees’ Claims                                                                                208

Total Preferential Claim                                                                                     208
Estimated surplus as regards preferential creditors                                                        2,657




Estimated total assets available for floating charge holders                                               2,657

Debts secured by floating charges
                                                                                                  Nil
                                                                                                              Nit

Estimated surplus of assets after floating charges                                                         2,657

                                                                                                           2,657
Total assets available to unsecured creditors
Unsecured non-preferentiai claims (excluding any shortfall to floating charge holders)
Director's Loan - Mr Beckett                                                                  10,800
Employees' Claims                                                                             18,658
HM Revenue & Customs - PAYE                                                                   10,517
Trade Creditors                                                                                  148
                                                                                                        (40,123)


Estimated (deficiency) as regards non-preferential creditors             £                              (37,466)




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