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Rule 2.29                                                                                                                    Form 2.16B



                          The Insolvency Act 1986                                                         2      =   1       6   B


                           Notice of statement of affairs

                          Name of Company                                              Company number

                          Jacks Famous Supplies (Camping) Ltd                          01168612


                          In the                                                       Court case number
                          Bury St Edmunds County Court                                  10 of 2013
                                                               (full name of court)



(a) Insert full           We       (a)
name(s) and               Adam John Clarke                                            Andrew Anderson Kelsall
address(es) of            Larking Gowen                                               Larking Gowen
admunistrator(s)           King Street House                                          King Street House
                           15 Upper King Street                                       15 Upper King Street
                          Norwich                                                     Norwich
                           NR3 1RB                                                    NR3 1RB



                          attach a copy of -

“Delete as                *the statement(s) of affairs,
applicable                bal




                           in respect of the administration of the above company



                          Signed                      KOR                 OADWNY
                                                      Joint / Administrator(s)

                           Dated                      (me          | 13


Contact Details:

You do not have to give any contact                   Adam John Clarke
information in the box opposite but if                Larking Gowen
you do, it will help Companies House to               King Street House
contact you if there is a query on the                15 Upper King Street
form                                                  Norwich
                                                      NR3 1RB
The contact information that you give
will be visible to searchers of the
pu        anc                                                                                                 01603 624181
                                                      DX Number                                               DX Exchange

i                                                     When you have completed and signed this form, please send it to the
         SATURDAY




                                                      Registrar of Companies at -
    ce                          *AZ3RBG94"*           Companies House, Crown Way, Cardiff CF14 3UZ DX 33050 Cardiff
                    A08       09/03/2013       #A70
—                         COMPANIES HOUSE
* Rule 2 29                                                                                                               Form 2 14B

              STATEMENT OF AFFAIRS
               Name of Company                                                                        Company Number

               Jacks Famous Supplies (Camping) Ltd                                                    01168612



               In the                                                                                 Court case number

               Bury St Edmunds County Court                                                           10 / 2013



              Statement as to the affairs of

              Jacks Famous Supplies (Camping) Ltd

              King Street House


              15 Upper King Street
              Norwich



              on the 21 January 2013, the date that the company entered administration


              Statement of Truth

              | believe the facts stated in this statement of affairs are a full, true and complete statement of the affairs of
              the above named company as at 21 January 2013 the date that the company entered administration


              Full Name               DAv       1d        We    Lu) Ame.


              Signed                 ant               Lk      ano.


              Dated                       (7.        2.        20918
                                                                                    WEDNESDAY




                                                                                                             *A2345VRN*
                                                                                                A18           27/02/2013       #259
                                                                                                          COMPANIES HOUSE
* Jacks Famous Supplies (Camping) Ltd
  Statement Of Affairs as at 21 January 2013

 Ai - Summary of Liabilities
                                                                                                      Estimated to
                                                                                                           Realise
                                                                                                                  £

 Estimated total assets available for preferential creditors (Carried from Page A)                        37,224 20

 Liabilities
      Preferential Creditors -
           RPO Arrears & Holiday Pay                                                       2,396 10
                                                                                                           2,396 10
 Estimated deficiency/surplus as regards preferential creditors                                           34,828 10

 Debts secured by floating charge pre 15 September 2003
 Other Pre 15 September 2003 Floating Charge Creditors
                                                                                                                NIL
                                                                                                          34,828 10

 Estimated prescribed part of net property where applicable (to carry forward)                                   NIL
 Estimated total! assets available for floating charge holders                                            34,828 10

 Debts secured by floating charges post 15 September 2003
                                                                                                                NIL
 Estimated deficiency/surplus of assets after floating charges                                            34,828 10

 Estimated prescribed part of net property where applicable (brought down)                                       NIL
 Total assets available to unsecured creditors                                                            34,828 10

 Unsecured non-preferential claims (excluding any shortfall to floating charge holders)
         Trade & Expense Creditors                                                        39,676 76
         Landlord                                                                         27,582 71
         RPO                                                                              57,558 43
         HM Revenue & Customs (PAYE/NIC)                                                   3,849 32
         HM Revenue & Customs (VAT)                                                        8,686 00
                                                                                                         137,353 22
 Estimated deficiency/surplus as regards non-preferential creditors
 (excluding any shortfall in respect of F.C's post 14 September 2003)                                   (102,525 12)

 Estimated deficiency/surplus as regards creditors                                                      (102,525 12)

 Issued and called up capital
         Ordinary Shareholders                                                            16,000 00
                                                                                                           16,000 00
 Estimated total deficiency/surplus as regards members                                                  (118,525 12)




 Signature      yuk)         On, ans                   pate     '7.-   2.        2ofa
" Jacks Famous Supplies (Camping) Ltd
  Statement Of Affairs as at 21 January 2013

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

 Assets subject to fixed charge

 Assets subject to floating charge:

 Uncharged assets:
 Lease                                                                   100                        100
 Furniture & Equipment                                                896 00                        100
 Stock                                                             15,000 00                   2,000 00
 Cash at Bank                                                      35,222 20                  35,222 20

 Estimated total assets available for preferential creditors                                  37,224 20



 Signature       Dau         (Li      ane            Date      (7.2,   2o0f2
Larking Gowen
Jacks Famous Supplies (Camping) Ltd
B - Company Creditors
Key           Name                                 Address                                                                                                         £
CA00          Anglian Water                        Customer Services, PO Box 10642, Harlow, CM20 9HA                                                         000
CBOO0         Blackspur                                                                                                                                      000
Cccoo         Cigman & Co Ltd                      Unit 18, Mowlem Trading Estate, Leeside Road, Tottenham, London, N17 0QJ                               579 54
cco1          Colchester Borough Council (Rent)    Resource Management, Rowan House, 33 Sheepen Road, Colchester, CO3 3WQ                             27,582 71
cco2          Castle Clothing Ltd                  Blyth Road Industral Estate, Halesworth, Suffolk, IP19 8EN                                          7,520 35
CC03          CSH Environmental Ltd                Greenacres, Old Packards Lane, Wormingford, Colchester, Essex, CO6 3AH                                    000
cco4          Colchester Borough Council (Rates)   Resource Management,    Rowan House, 33 Sheepen Road, Colchester, CO3 3WQ                           1,088 00
CEO           Everbuild Building Projects Ltd      Site 41, Knowsthorpe Way, Cross Green Industrial Estate, Leeds, LS9 OSN                               631 60
CE01          Eon                                                                                                                                           000
CG00          Global Safety                        Jubilee Street, Melton Mowbray, Leics, LE13 1ND                                                       409 17
CHOO          Harveys Ltd                          Glodwick Road, Oldham Lanes, OL4 1YU                                                                  487 66
CHO1          Hamble Distribution Ltd              15 Ashley Street, Glasgow, G3 6DR                                                                   7,767 49
CHO02         Haven Power Ltd                      The Havens, Ransomes Europark, Ipswich, IP3 9SJ                                                          000
CHO3          HM Revenue & Customs (ADM)           Debt Management , Enforcement & Insolvency, Durrington Bridge House, Barrington                     3,849 32
                                                   Road, Worthing, West Sussex, BN12 4SE
CH04          HM Revenue & Customs (VAT)           VAT Operations Insolvency, 3rd Floor NW, Queens Dock, Liverpool, L74 4AA                            8,686 00
CMO00         MB&AV Spaull & Sons                  Unit 8 Fitzmaurice Court, Rackheath Industrial Estate, Rackheath, Norfolk, NR13 6PY                   415 44
CM01          Martin Cox Ltd                       Jackson Lane, Wellingborough, Northants, NN8 4LB                                                      228 24
CM02          Maxim Lamps                          Unit 23, More House Farm Business Centre, Ditchling Road, Wivelsfield, Haywards                        570 63
   .                                               Heath, East Sussex
CMO03         Merchant Rental Services             Alexander House, Old Boston Trading Estate, Haydock, WA11 9SL                                            000
CP90          Parasene Ltd                         Unit 20 Waterfall Trading Estate, Waterfall Lane, Cradiey Heath, West Midlands, B64                 1,220 78
                                                   6PU
cP01          Procter Bros Ltd                     11 Pantglas Industrial Estate, Bedwas, Caerphilly, CF83 8XD                                           879 79
CP02          PMS International                    International House, Cricketers Way, Basildon, Essex, SS13 1ST                                         165 31
CP03          Pride of Place Ltd                   Unit 11 Sycamore Close, Dyffyn Business Park, Ystrad Mynach, CF82 7RJ                                 732 00
CP04          Paroh Ltd                            Finance Department, Direct 2 Industrial Park, Roway Lane, Oldbury, West Midlands, B69               1,250 87
                                                   3ES
CROO          RJM International Ltd                Laltex House, Leigh Commerce Park, Green Fold Way, Leigh Lanes, WN7 3XH                             1,144 29
CRO1          Regatta Ltd                          Risol House, Mercury Way, Dumplington, Urmston, Manchester, M41 7RR                                   868 85
Page 1 of 2                                                         IPS SQL Ver 2012 05                                                    14 February 2013 14 48
        Larking Gowen
        Jacks Famous Supplies (Camping) Ltd
        B - Company Creditors
        Key           Name                             Address                                                                                        £
        CR02          R W Phillips Ltd                 Charfleets, Canvey Island, Essex, SS8 0PQ                                             1,819 04
        CRO3          Redundancy Payments Office       PO Box 15424, Cobalt Square, 83 Hagley Road, Birmingham, B16 6JJ                     59,954 53
        csoo          Streamline Merchant Services     Gateshead Card Centre, Victory House, Fifth Avenue, Gateshead, NE11 OEL                    000
        fou rele)     Tarpaflex Ltd                    The Granary, Rocky Lane, North Len, Okehampton,         Devon, EX20 3BR                 555 44
        cT01          Toolstream Ltd                   Boundary Way, Lufton Trading Estate, Yeovil, Somerset, BA22 8HZ                       1,707 00
        Cuo00         UKODistributors (Footwear) Ltd   Marlow House, Churchhill Way, Fleckney, Leics, LE8 8UD                                7,305 83
        Ccu01         UK Wholesale Direct              4th Floor Meadow Mill,   Water Street,   Stockport,   SK1 2BU                              000
        CU02          Unicom                                                                                                                      000
        cwoo          Wilsons                          7 Grange Way, Colchester, Essex, CO2 8HG                                              2,329 44
'       EA00O         Ms Karen Andrews                 3 Harwich Road, Colchester, CO4 3BP                                                        000
        EBoo          Mr David Bouttell                Beltana, Tudwick road, Tolleshunt Knights, Tiptree, Colchester, CO5 OSA                    000
    ~   EBO1          Ms Vysian Banyard                21 Darcey Way, Tolleshunt Darcy, Maldon, CM9 8UD                                           000
        EFOO          Ms Rosanna Forbes                63 Turner Road, Colchster, CO4 5XW                                                         000
        EHOO          Ms Angela Hull                   10 Brook Street, Colchester, CO1 1UT                                                       000
        EM00          Ms Deanna Murray                 6 Darnett Road, Tollesbury, Maldon, CM9 8XG                                                000
        EROO          Mr Joel Redhead                  14 Willet Road, Colchester, CO2 SAW                                                        000
        Esoo          Ms Anne Smith                    38 Gloucster Road, Colchester, CO2 9AZ                                                     000
        Rwo00         Mr David Willams                 9 Thomas Wakley Close, Colchester, Essex, CO4 5DP                                          000
        44 Entries Totalling                                                                                                              139,749.32
        Page 2 of 2                                                     IPS SQL Ver 2012 05                                      14 February 2013 14 48
         Larking Gowen
     Jacks Famous Supplies (Camping) Ltd
     C - Shareholders
     Key             Name                  Address                                                                   Pref     Ord    Other           Total
     HWO00           Mr David Willams       9 Thomas Wakley Close, Colchester, Essex, CO4 5DP                           0   16,000         0       16,000
         1 Entries Totalling                                                                                                                       16,000
i}
         Signature
     Page 1 of 1                           IPS SQL Ver 2010** NOTE   THIS CASE HAS UNPOSTED TRANSACTION ENTRIES **                   26 February 2013 10 25
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