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Rule 4 34-CVL             The Insolvency Act 1986                                                       Form 4 20




                          Statement of Company’s                           S.95/99
                          Affairs
                          Pursuant to Section 95/99 of the
                          Insolvency Act 1986

                                                                                                    For official use



                          To the Registrar of Companies

                                                                            Company Number
                                                                             08048920



{a) Insert full name of   Name of Company
company
                          (a) SNN SAMPLES        LIMITED




(b) Insert full name(s)   We   (b) Andrew John Cordon and Joseph Gordon Maurice Sadler
and address(es)                    Elwell Watchorn & Saxton LLP
                                    Cumberland   House, 35 Park Row, Nottingham      NG1     6EE



(c} Insert date           the Liquidator(s) of the above named company attach a statement of the
                          Company’s affairs as at (c) 15 January 2015




                          Signed
                                                                                        Sls

                                                                             NANI
Presenter’s name,                                                                For Official use
address and reference                                                                ~~!       B-eRoom
(af any)




                                                                                           19/01/2015
                                                                                    COMPANIFS      Hotice
       Rule 4,34 - CVL                                                                                                Form 4.19




                   Statement of affairs

                     Name of company                                                                 Company number
                     SNN SAMPLES LIMITED                                                      [          08048920



                          Statement as to the affairs of
  (a) Insert name and
 address of registered    SNN   SAMPLES     LIMITED
office of the company     of 5 Prospect Place
                          Millennium Way
                          Pride Park
                          Derby DE24 8HG


        (b) Insert date   on the 15 January 2015, the date that the company went into liquidation



                           Statement of Truth                                                                                        }

                           I believe that the facts stated 1n this statement of affatrs are a full, true and complete statement of
                           the affairs of the above named company as at (b) 15 January 2015 the date that the company went
                           into liquidation


                           Full name


                           Signed


                           Dated
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
                              Current Account - Interest bearing                2,198            2,198
                              Debtors (Pre-Appointment)                         1,498                 0

                        Available to preferential creditors                     3,696            2,198




Signature                                                          Date’
            cr 4
                   vi
Al - SUMMARY OF LIABILITIES
                                                                                          Estimated to
                                                                                                Realise
                                                                                      £                £

Estimated total assets available for preferential creditors                                       2,198

Liabilities

Estimated Surplus (Deficiency) as regards preferential creditors                                  2,198

Estimated total assets available for floating charge holders                                      2,198

     Debts secured by floating charge                                                                  0
Total assets available to unsecured creditors                                                     2,198

Unsecured non-preferential claims
(excluding any shortfall to floating charge holders)
     HM Revenue and Customs                                                    (14,213)
     Trade and Expense Creditors                                                (8,532)
                                                                                               (22,745)
Estimated Surplus (Deficiency) as regards non preferential creditors                           (20,548)
(excluding any shortfall to floating charge holders)

      Share Capital
      £1 Ordinary shares                                                        (1,000)
                                                                                                 (1,000)
Estimated Surplus (Deficiency) as regards members                                              (21,548)




 Signature                                                             Date.
                      Vi
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