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Rules 4.34-CVL            The Insolvency Act 1986                                                            Form 4.20

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

                                                                                                        For Official Use
                          To the Registrar of Companies


                                                                                                     Company      Number
                                                                                              [        08861113            |
                          Name of Company
(a) Insert full name of   (a) R H (N Home) Ltd
company

(b) insert full name(s)   1, (b) Andrew Rosier
and address(es)
                          Ideal Corporate Solutions Limited
                          Third Floor
                          St Georges House
                          St Georges Road
                          Bolton BL1 2DD

                          the Liquidator of the above named company, attach a statement of the company’s affairs
(c) Insert date
                          as at (c) 21 May 2015




                          Signed                                             Date

                                        é     SS   c—     4                                       2..83.S8




Presenter’s               Andrew Rosler                                              For Official Use
name, address             Bolton                                         Liquidati    achan              Bact Ranm
and reference (if         Third Floor
any)                      St George’s House
                          St George’s Road
                          Bolton BL1 2DD
                          R6174                                                                        *A4A5USTV"
                                                                                        A22            23/06/2015          #262
                                                                                                    COMPANIES HOUSE
Rule 4 34-CVL                                                                                         Form 4 19


                Statement of Affairs
                                                           RH (N HOME) LTD

                Statement as to affairs of   R H (N Home) Ltd
                on the 21 May 2015 being a date not more than 14 days before the date of the resolution for
                winding up




                Statement of Truth

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


                Full Name        Mr    Atique Rehman


                Signed


                Dated                 21/5/51




 Signatur
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



Available to preferential creditors                             0                          0




 Signa!        Wey                    Date   aus   fis
A1— SUMMARY OF LIABILITIES

                                                                           Estimated to
                                                                                Realise
                                                                      £                £

Estimated total assets available for preferential creditors                            0

Liabilities
      Wages                                                    (23,426)
       Holiday Pay                                              (5,570)
                                                                                (28,997) |
Estimated Surplus (Deficiency) as regards preferential                          (28,997)
creditors

Estimated total assets available for floating charge holders                         NIL

      Floating Charge Claims                                                            0
Total assets available to unsecured creditors                                        NIL

Unsecured non-preferential claims
     Employees                                                 (93,351)
     HM Revenue and Customs                                    (77,000)
     Trade and Expense Creditors                               (31,677)
     Deficiency in Preferential Claims (b/d)                   (28,997)
                                                                               (231,025)
Estimated Surplus (Deficiency) Unsecured creditors                             (231,025)

        Share Capital
        Ordinary                                                     (1)
                                                                                      (1)
Estimated Surplus (Deficiency) as regards members                              (231,026)




Signature.                           ate Zak s/s
B COMPANY CREDITORS - R H (N HOME) LTD

NOTE         You must include all creditors and identify any creditors under hire-purchase, chattel leasing or conditional
sale agreements and customers claiming amounts paid in advance of the supply of goods or services and creditors
claiming retention of title over property in the company’s possession

Name of creditor or         | Address (with postcode)                 Amount of | Details of        Date           Value of
claimant                                                                  debt £ | any security   | security     security £
                                                                                   held             given
ABCS     Ltd             Derwent House, Alexandra                          98 80                                        000
                         Road Wallasey CH45 OJE
Adegbite, Gloria (Mrs) | 50 Gravenmore Drive Salford                    4,302 63                                        000
                               MDi 4YW
Atredale Protection           6 Thornber Bank, Silsden                    280 20                                        000
Services                      Keighley BD20 8PH
Akhtar, Mussarat              3 Eagle Street Kerghley BD21                547 20                                        000
(Me)                           2BX
Alexander, Simmi               30 Braithwaite Avenue                       86 40                                        000
(Mrs)                          Keighley BD22 6EU
Allen, Rita {Ms}               10 East Terrace, Crossroads              1,175 79                                        000
                               Keighley BD22 9EL
Alpine Group                   Azure House, Connaught                     393 60                                        000
                               Road, Kingswood Hull HU7
                               3AP
Archibald, Gemma               16 Tennyson Avenue,                      1,008 00                                        000
(Ms)                           Sowerby Bridge HX6 1BY
Avail Bradford                 Accent Business Centre,                  2,700 00                                        000
                               Barkerend Road        Bradford
                               BD3 9BD
Baywater Healthcare         | 2 Millenmium Gate, Westmere                 667 76                                        000
                              Drive Crewe CH1 6XB
Blackie, Elizabeth            11 Campbell Street ,                      6,507 60                                        000
(Ms)                          Crosshills Keighley BD20
                               8AR
Bolledu, Mary (Ms)             15 Ings Road, Steeton                    7,034 28                                        000
                               Keighley BD20 6RG
Browne, Tina (Ms)              3 Riverside      Keighley BD21             345 60                                        000
                               4JP
Connell, Daniel (Mr)           12 Hilltop, Steeton     Keighley          8,841 26                                       000
                               BD20 6QA
Deegan, Anne (Ms)              5 Lister Hill Sutton-in-Craven             91377                                          000
                               BD20 7PD
Dickinson, Danielle            5 Greenroyd Drive, Sutton-in-             4,605 25                                        000
(Ms)                           Craven Keighley BD20 7JL
Elders, Jane (Ms)              25 Farley Cresent Oakworth                2,619 76                                        000
                               BD22 7SH
Emmott, Lucy (Ms)        44 Whin Knoll Avenue                            1,382 40                                        000
                         Keighley BD21 2HX
Euro   Digital Systems | Enterprise House, Guinness                         91 47                                        000
Ltd                      Road, Trafford Park
                         Manchester M17 1SG
Fletcher, Sharon (Ms) | 9 Wellington Street                                  000                                         000
                         Barnoldswick BB18 5AY
Frith, Kerry (Ms)        5 Highroad Well Lane Halifax                      683 02                                        000
                               HX2 OLZ
Gazprom Energy                 5th Floor, 27 Quay Street                 1,903 51                                        000
                               Manchester M3 3GY
 Gompels Healthcare          | 1 Swift Way, Bowerhill                      548 92                                        000
                               Industrial Estate, Melksham
                               Wiltshire SN12 6GY
 Healthcare                    Martin Mill, Walker Lane,                   420 00                                        000
 Businessm Vivas               Hebden Bridge West
 Publications                  Yorkshire HX7 8SJ
                    c                                    —        —

 Signature                               Date     2(   [s/s
Name of creditor or     | Address (with postcode)           Amount of | Details of        Date        Value of
claimant                                                        debt £ | any security   | security   security £
                                                                          held            given
HKS Consultancy          65 Scotland Road, Nelson             9,000 00                                     000
Group                    Lancashire BBQ 7UY
HM Revenue &             Durrington Bridge House,            77,000 00                                     000
Customs                  Barrington Road Worthing
                          BN12 4SE
Johnson, Hannah          12 Walton Street Sutton-in-          1,706 40                                     000
(Ms)                     Craven BD20 8DL
Jose, Renyth             28 Westbrook Vale,                     518 40                                     000
                         Evercreech, Shedtonmallet
                         Somerset BA4 6JN
Jose, Sindhu             13 Shann Cresent Keighley            2,206 05                                     000
                          BD21 2TN
Kamath, Prakash           28 Clayton Road     Bradford          436 80                                     000
                          BD7 2LT
Kanaghasabay,             9 Daffodil Close, Shawclough             000                                     000
Sweepoh                   Rochdale OL12 6NY.
Kauser, Sobya             4 Bronte Street Keighley            2,173 43                                     000
                          BD21 4BD
Kirk, Sophie (Ms)         31 York Street    Queensbury        1,749 60                                     0 00
                          BD13 2EN
Korah, Jackson (Mr)       30 Braithwaite Avenue               2,289 60                                     000
                          Keighley BD22 6EU
Letsie, Portia (Miss)     15 Chelsea Street Keighley          1,771 20                                     000
                          BD211DR
Local Careforce           C/o Bibby Factors Ltd,              4,100 00                                     000
                          Woodland House, Woodland
                          Park Bradford BD19 6BW
Matthew, By) (Mr)         40 North Debe Avenue                     000                                     000
                          Keighley BD22 6QL
Maude, Sally (Ms)         23 Rosemount Court Sutton-          2,030 40                                     000
                          In-Craven BD20 7PG
Mawson, Philip (Mr)       12 Sunmoor Drive Skipton            1,368 00                                     000
                          BD23 2JS
McGrath, Kevin (Mr)       13 Stradmore Road                   4,248 00                                     000
                          Denholme BD13 3BX
NHS Airedale              Millenium Business Park,              239 12                                     0 00
Wharfdale Craven          Station Road, Steeton
CCG                       Keighley BD20 6QW
Nkayibi, Wayt-Way         5 Newclose Road, Shipley                 000                                     000
                          Nabwood BD21 4AB
Paul, Aneesh (Mr)         31 Manor Drive     Bingley BD16          000                                     000
                          4PL
Pearson Anderson          Third Floor, Edward Buildings,       7,000 00                                    000
                          21 Rutland Street Leicester
                          LE1 1RB
Rani, Reena (Ms)          10 Harewood Avenue,                  5,640 06                                     000
                          Eastburn Keighley BD20 8UQ
Redundancy                Cobalt Square, 83-85 Hagley              000                                      000
Payments Office           Road Birmingham B16 8QG
Reynard, Eiran (Miss) | 28 Greenfield Garden                   3,380 59                                     000
                          Eastburn BD20 7SP
Robinson, Amanda          7 Bungalow Road, Gilsburn                000                                      000
(Ms)                      North Yorks BD20 70Q
Rowland, Julie (Ms)       34 Whin Knoll Avenue                 4,846 10                                     000
                          Keighley BD21 2HX
Shackleton, Pamela        31 Dawson Road       Keighley        7,381 40                                     000
(Ms)                      BD21 5PH
Shakil, Hurria            127 North Dean Road                    165 60                                     0 00
                          Keighley BD22 6QT


 smo       PA                   —          25/5
         Name of creditor or     | Address (with postcode)        Amount of | Details of        Date        Value of
         claimant                                                     debt £ | any security   | security   security £
                                                                               held             given
         Shoesmith, Susan         3 Compeigne Avenue,                 936 00                                     000
         (Ms)                     Riddlesden Keighley BD21
                                  4EU
         Smith, Elizabeth (Ms)   | 127 Clough Lane, Mixenden        8,817 88                                     000
           -     _.                Halifax HX2 8SN
         Smith, Sandra (Ms)        32 Bogthorn, Oakworth            3,275 22                                     000
                                   Keighley BD22 7LU
         Splash Aquatics          29 Keighley Road, Skipton            38 41                                     000
                                  Bradford BD23 2LX
         SRCL                     Indigo House, Sussxe Avenue         859 41                                     000
                                  Leeds LS10 2LF
         Staff Nurse com          RJC Business Park, 250              300 00                                     000
                                  Derwent House, London Road
                                  Derby DE24 8JP
         Stokes, Kenneth (Mr)    | 31 Dawson Road   Keighley        6,398 60                                     000
                                   BD21 5PH
         Storton, Rebecca         2 Sun Street, Eastburn           12,923 75                                     000
         (Ms)                     Keighley BD20 8UR
         Szabo, Hajnal             156 Hainworth Wood Road,         3,565 56                                     000
                                  Spring Bank   Keighley BD21
                                  5DEF
         Tempcare                 Bardford Cahmber Business         4,500 00                                     000
                                  Park, New Lane Bradford
                                  BD4 8BX
         Thompson, Amanda         Flat 3 , Chaingate House, 13-     6,169 60                                     000
         (Ms)                     21 Low Street Keighley BD16
                                   4PL
         Tumer, Victoria (Ms)     33 Valley View Close,                 000                                      000
                                  Bogthorn Oakworth BD22 7LZ
         Wall, Jessica (Ms)       7 Bracken Bank Avenue             1,296 00                                     000
                                  Keighley BD22 7AA
         Yorkshire Water          PO Box 52, Broadacre House        1,536 19                                     000
                                  Bradford BD1 5RQ
ko




Signat   Signature   —<                   coe ZENS
C SHAREHOLDERS - R H (N HOME) LTD

No       Name of       Address            Type of      Nominal | Number of | Amount per              Total
         shareholder   (with              shares     amount of | shares held | share called        amount
                       postcode)          held         share £             £           up€£ |   called up£
         Atique        6 Park Drive       Ordinary         100             1            100            100
         Rehman        Heaton
                       Bradford BD9
                       4DR
                                                                                      Total.           1.00




Signat                             ate   afofis