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




                                   5.95|99
 STATEMENT OF COMPANY'S AFFAIRS
 Pursuant to Section 95/99 of the Insolvency Act 1986


                                                                For official use




                                                               Company Number

                                                                  08163868
 To the Registrar of Companies Company Number
| X FIT GYM (CHORLEY) LIMITED

 [Insert full name(s) and address(es)]

 |, J M Titley of Leonard Curtis, Hollins Mount, Hollins Lane, Bury, BL9 8DG, the Joint
 Liquidator of the above named Company, attach a statement of the Company's affairs as at
 10 April 2014




 Signed             JyBey                                       Date         10 April 2014




 Presentor's name, address and reference (if
 any)

                                          For official use
 Leonard Curtis
 Hollins Mount
 Bury
 BL9 8DG
 For official use




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                                                                                        COMPANIES HOUSE
                                                                                                        Form 4 19
Rule 4 34-CVL




                      Statement of Affairs


                      Statement as to affairs of

                      X FIT GYM (CHORLEY) LIMITED
                      on the 10 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




                      Full name      Alan              Tour           Ley



                      Signed boner



                       soc OA | ZOWY




  CVLMF419 06-04 10
X FIT GYM (CHORLEY) LIMITED           -


                                                                                                       APPENDIX |

                      DIRECTOR’S ESTIMATED STATEMENT OF AFFAIRS AS AT 10 APRIL 2014

                                                             Book value                   Estimated to Realise
                                              Note      £                    £             £                £
Assets Specifically Pledged
None                                           1              Nil                               Ni
less Secured Creditor                          1            (Nil}                             (Nil)
Surplus / (Shortfall) c/fwd                                 (Nil)                              (Nil)

Assets Not Specifically Pledged
Plant & Equipment                               2       12,000                               5,000
Cash at Bank                                    2                1                                1
                                                                             12,001                           5,001
Preferential Creditors
Employee Claims / ERA 2006 Claims (est }        3                               (Nu)                            (Ni)
Net Property available for Prescribed Part*                                  12,001                           5,001
Less Prescribed Part                            4                              (Nia)                           (N/a)
Available for Floating Charge Creditor                                       42,001                           5,001
Shortfall b/wd                                                                  (Nil)                            (Nil)
Surplus / (Shortfall) c/fwd                                                  12,001                            5,001

Add Prescnbed Part                              4                                Nia                             Na
Available for Ordinary Unsecured Creditors                                   12,001                            5,001

Ordinary Unsecured creditors
Employee Claims / ERA 2006 Claims (est }           3        (Nil                               (Nil}
H M Revenue & Customs - PAYE / NI (est)            5    (3,500)                            (3,500)
HM   Revenue & Customs - VAT (est )                5    (7,000)                            (7,000)
Trade and Expense Creditors (est )                 6   (20,145)                           (20,145)
Total Ordinary Unsecured Creditors                                         (30,145)                         (30,145)
Estimated Deficiency as regards Creditors                                  (18,144)                         (25,144)
Issued share capital                                                             (1)                              (1)
Estimated Deficiency as regards Members                                    (18,145)                         (25,145)




 Signed A (LA                                                             10 April 2014
          Mr Alan om
X FIT GYM (CHORLEY) LIMITED                 -   oe        -                _—               ---   +    --


                                                                                                        APPENDIX J

                                NOTES TO THE ESTIMATED STATEMENT OF AFFAIRS

All book values have been taken from the Company's latest financial information or from valuations obtained from
independent valuation agents It should be noted that no provision has been made for the costs of preparation of the
same, the costs of convening the meetings of members and creditors, agents’ costs or the costs and expenses of the
Liquidation


1.        Assets Specifically Pledged
          There are no assets
2.        Assets Not Specifically Pledged
          Plant & Equipment
          The book value & estimated to realise value of the plant & equipment has been provided by the director from
          information extracted from the Company's books & records
          Cash at Bank
          The book value & estimated to realise value of the cash at bank has been provided by the director from
          information extracted from the Company's books & records
3.        Employee Claims / ERA’2006 Claims (est.)
          Where applicable, employees will be entitled to make claims (subject to certain limits) under the Employment
          Rights Act 2006 (ERA’2006) from the government department known as the Redundancy Payments Service
          (‘RPS’) The Employee claims may include arrears of pay, holiday pay, compensation in lieu of notice and
          redundancy Where applicable, the RPS will make payments directly to the employees and then the RPS will
          then lodge a claim against the Company in respect of the payments it has made Employee Claims / ERA'2006
          have been estimated for the purposes of the statement of affairs and are not considered as agreed amounts
4.        Prescribed Part
          As the Company has no unsatisfied post-Enterpnse Act charges, there will be no requirement to set aside a
          prescnbed part in this case
 5.       H M Revenue & Customs — PAYE / NI & VAT
          The liability to HMRC in respect of unpaid PAYE, NIC and VAT has been extracted from the Company's books
          and records as provided by the director A detailed hist of these amounts has been provided at Appendix Ill
          The amounts shown should not be regarded as agreed
 6.       Trade and Expense Creditors
          Details of the Company's trade and expense creditors have been extracted from the Company's books and
          records as provided by the director A detailed lst of these amounts has been provided at Appendix Ill The
          amounts shown should not be regarded as agreed




     Signed On                                                              10 April 2014
          Mr Alan Towntey
” XFITGYM {CHORLEY) LIMITED     -   --
 Y
                                                                                 APPENDIX III

                                         SCHEDULE OF CREDITORS

  See attached list




     Signed   A                                                  10 April 2014

              Mr Alan Townley
B- Company   Creditors


Code              Name & Address                                                  Amount of Debt
C0001             Chorley Council                                                             1,500 00
                  PO Box 13
                  Chorley
                  PR7 1AR
c0002             Anthony Ratcliffe                                                           5,000 00
                  6 Marlow Court
                  Adlington
                  PR7 4LE
C0003             United Uthtes                                                               1,120 00
                  PO Box 50
                  Warrington
                  WASS 1AQ
C0004             Swinton Insurance                                                             800 00
                  3 Grimshaw Street
                  Burntey
                  Lancashire
                  BBt1 2AS
C0005             HM Revenue & Customs - PAYE / NIC                                           3,500 00
                  Accounts Office Cumbernauld
                  Cumbernauld
                  Glasgow
                  G67 1YZ
C0006             HM Revenue & Customs VAT                                                    7,000 00
                  Alexander House
                  21 Victoria Avenue
                  South End on Sea
                  $899 1AB
C0007             E-On                                                                        1,765 00
                  PO Box 123
                  Nottingham
                  NG1 6HO
9999              British Gas                                                                 9,960 00
                  Penman Way
                  Grove Park
                  Leicester
                  LE19 1ZE
                                                                                            £30,645 00




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