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                                                                                                                           Form 4.20
 Rute 4 34 - CVL

                           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

                                                                                                               08360458


                           Name of Company


                             Coles Leisure Limited


                            1/ We

                           Timothy Frank Corfield, 26/28 Goodall Street, Walsall, West Midlands, WS1                 1QL




                            the liquidator(s) of the above named company attach a statement of the company affairs
                            as at 15 January 2015




                            Signed          mee                                        Date           29 January 2015




                            —                                                             HN
                            Griffin & King Insolvency                                                  -
                            26/28 Goodall Street                                              For Official Use
                            Walsall                                    Insc
                                                                              FRIDAY




                            Ref      COLS509/TFC/SJN                                                   30/07/2015
Software Supplied by Turnkey Computer Technology Limited   Glasgow                                 COMPANIES HOUSE
Rule 4 34-CVL                                                                               Form 4 19

                Statement of Affairs

                Statement as to affairs of

                                             4
                Coles Leisure Limited

                on the 15 January 2015 the date of the resolution for winding up




                Statement of truth


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

                                                                                        “
                Full Name               Spud        S7ERd-

                Signed                  = GE
                Dated                   29-\-1S°
Coles Leisure Limited
Statement Of Affairs as at 15 January 2015

A - Summary of Assets
                                                                            Estimated to
Assets                                                        Book Value       Realise
                                                                   £              £

Assets subject to fixed charge’

Assets subject to floating charge

Uncharged assets:
Lease premium unexpired term                                    10,000 00                       NIL
Book Debts Sale of assets                                        2,816 00                  2,346 67
Cash in hand                                                     3,000 00                  3,000 00

Estimated total assets available for preferential creditors                                5,346 67




Signature S$      GE                                pate 2Z4-\-IS
Coles Leisure Limited
Statement Of Affairs as at 15 January 2015

A1 - Summary of Liabilities
                                                                                                     Estimated to
                                                                                                          Realise
                                                                                                                 £

Estimated total assets available for preferential creditors (Carried from Page A)                         5,346 67


Liabilities
     Preferential Creditors -
                                                                                                                NIL
Estimated deficiency/surplus as regards preferential creditors                                            5,346 67


Debts secured by floating charge pre 15 September 2003
Other Pre 15 September 2003 Floating Charge Creditors
                                                                                                                NIL
                                                                                                           5,346 67

Estimated prescribed part of net property where applicable (to carry forward)                                   NIL
Estimated total assets available for floating charge holders                                               5,346 67

Debts secured by floating charges post 15 September 2003
                                                                                                                NIL
Estimated deficiency/surplus of assets after floating charges                                              5,346 67


Estimated prescribed part of net property where applicable (brought down)                                       NIL
Total assets available to unsecured creditors                                                              5,346 67

Unsecured non-preferential claims (excluding any shortfall to floating charge holders)
        Trade & Expense Creditors                                                        17,173 20
        Directors' Loan Account                                                          76,641 00
         HMRC     PAYE & Ni                                                                 142 00
         HMRC     VAT                                                                     3,691 35
                                                                                                          97,647 55
Estimated deficiency/surplus as regards non-preferential creditors
(excluding any shortfall in respect of F.C’s post 14 September 2003)                                    (92,300 88)

Estimated deficiency/surplus as regards creditors                                                       (92,300 88)


Issued and called up capital
        Ordinary Shareholders                                                               100 00
                                                                                                             100 00
Estimated total deficiency/surplus as regards members                                                   (92,400 88)




Signature    +s       LV                              Date   29-(-1S            *
       ‘

Griffin & King Insolvency
Coles Leisure Limited
A5 - Unsecured Creditors Statement of Affairs Figures


Key           Name                                                                    £

CBOO          BT pic                                                            600 00
              Dept W
              Durham TE
              Providence Row
              Durham
              DH11RR
CBO1          British Gas Business                                            2,720 40
              Spinneyside
              Penman Way
              Grove Park
              Leicester
              LE19 1FZ
CCAN          Cannock Chase District Council                                12,827 00
              Civic Centre
              Beecroft Road
              Cannock
              WS11     1BG
CCLS          Credit Security Limited                                              000
              Old House, Church Headland Lane
              Whitchurch
              Aylesbury
              Buckinghamshire
              HP22 4JX
CE0O          €-on                                                               25 80
              Insolvency Team
              Trinity House
              2 Burton Street
              Nottingham
              NG1 4BX

CHOO          HM Revenue & Customs - VAT                                      3,691 35
              National Insolvency Unit
              5th Floor
              Regian House
              Liverpool
              L74 1AD
CHO1          HM Revenue & Customs - PAYE                                       142 00
              RM BP 3202
              Benton Park View
              Longbenton
              Newcastle Upon Tyne
              NE98 1ZZ
CPRS          Performing Rights Society                                       1,000 00
              2 Pancras Square
              London
              N1C 4AG




Signature     SQ
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Griffin & King Insolvency
Coles Leisure Limited
A5 - Unsecured Creditors Statement of Affairs Figures


Key           Name                                                              £

csoo          South Staffs Water pic                                         000
              Green Lane
              Walsall
              West Midlands
              WS2 7PD
CSTE          @Mr J A P Stead                                         76,641 00
              Flat 1
              16A Upper Brook Street
              Rugeley
              Staffordshire
              WS15 2DN


10 Entries Totalling                                                  97,647.55

@ - Denotes associate creditor




Signature      Ss       LG        i™

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