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Rule 4 34                                                                                                     Form 4 20




                                                                                    S.95/99
                     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
                                                                                                 [08066585
                               Name of Company
(a) Insert full name of        {a) Purely Health Care Limited
company



(b) Insert full name and       We (b)
addresses                      Martin Richard Buttriss                     Richard Frank Simms
                               F A Simms & Partners Limited                F A Simms & Partners Limited
                               Alma Park                                   Alma Park
                               Woodway Lane                                Woodway Lane
                               Claybrooke Parva, Lutterworth               Claybrooke Parva, Lutterworth
                               Leicestershire                              Leicestershire
                               LE17   5FB                                  LE17     5FB
                               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) 30 March 2015




                                                 BOS
                               sons
                                                                              ate    — 30 March 2015
                                            WA


                                                                                       For Official Use
Presenter's name               F A Simms & Partners Limited             Liquidation Section            Post Room
address and reference
(if any)                       Alma Park




                                                                       qm Mn
                               Woodway Lane
                               Claybrooke Parva, Lutterworth
                               Leicestershire
                               LE17 5FB
                               United Kingdom



                                                                                              01/04/2015       #317
                                                                                          COMPANIES HOUSE
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Rule 4 34-CVL                                                                           Form 4 19


                    Statement of Affairs
                                                      Purely Health Care Limited

                    Statement as to affairs of        Purely Health Care Limited


                    on the 30 March 2015 being a date not more than 14 days before the date of the
                    resolution for winding up




                           Statement of truth


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

                           Full Name        Ansay Azad

                           Signed               \ Ah

                           Dated            30 March 2015




Signature       \   \   aA
                         =                                         Date 30 March 2015                |1
                o
Purely Health Care Limited

A- Summary      of Assets

Assets                                                        Book Value              Estimated to Realise

Assets subject to fixed charge:




Assets Subject to a Floating Charge
 Cash in Hand                                                         3,600                                  3,600


Estimated total assets available for preferential creditors                                                  3,600




Signature       \       A                                        Date 30 March 2015
                Nene
A1 — Summary of liabilities




Estimated total assets available for preferential creditors
(carried from page A)
                                                                                                       3,600

Preferential creditors



Total Preferential Claim
Estimated (deficiency) / surplus as regards preferential creditors                                     3,600




Debts secured by floating charges
   Lloyds Commercial Finance                                                                  600
                                                                                                         600


                                                                                                       3,000
Total assets available to unsecured creditors
Unsecured non-preferential claims (excluding any shortfall to floating charge holders)
Bank - Lloyds Bank Plc
Director's Loan - Mr Azad
PAYE
Trade Creditor
                                                                                                    (59,629)

Estimated (deficiency) / surplus as regards non-preferential creditors   £                          (56,629)
Issued and called up capital
  Ordinary                                                                                    100
                                                                                                       (100)


Estimated total (deficiency) / surplus as regards members                                           (56,729)




Signature    hs                                                          Date 30 March 2015
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