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  ,                                                                                                                   Form 4 20
 Rule 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

                                                                                                            02122529


                            Name of Company


                              CIB (Life    & Pensions) Limited


                            |/We

                            Eric Walls, C12 Marquis Court, Marquisway, TVTE, Gateshead, Tyne & Wear, NE11                   ORU

                            Wayne Harrison, C12 Marquis              Court,   Marquisway,   TVTE,   Gateshead,     Tyne   &   Wear,   NE
                            ORU




                            the liquidator(s) of the above named company attach a statement of the company affairs
                            as at 14 May 2015




                            Signed            /   Lill                                      Date     14 May 2015
                                                                                                                                           |
                                                                                                                                               |




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                            KSA Group Ltd                                                                                                      |




                                                                                 | MTT
                            C12 Marquis Court                                                                                                  |




                                                                                                   18/05/2015        #!
                            Ref      K2533/EWWH
                                                                                               COMPANIES HOUSE
Software Supplted by Turnkey Computer Technology Limited   Glasgow
Rule 4 34-CVL                                                                           Form 4 19

                Statement of Affairs

                Statement as to affairs of

                C 1B (Life & Pensions) Limited

                on the 14 May 2015 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        ——                            DAs}               ‘


                Signed


                Dated
C IB (Life & Pensions) Limited
Statement Of Affairs as at 14 May 2015

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

Assets subject to fixed charge

Assets subject to floating charge:

Uncharged assets:
Funds Held by the Liquidators                                     7,200 00                        7,200 00
Book Debts                                                        4,303 12                          648 14
Cash at Bank                                                     47,607 67                       17,607 67
Pension Book Yield                                                     100                             100

Estimated total assetsivatlable for preferential creditors                                       25,456 81




                                                    Date     \ WS      - =   \S
C 1B (Life & Pensions) Limited
Statement Of Affairs as at 14 May 2015

Ai - Summary of Liabilities
                                                                                                          Estimated to
                                                                                                               Realise
                                                                                                                      £

Estimated total assets available for preferential creditors (Carried from Page A)                             25,456 81

Liabilities
    Preferential Creditors -
                                                                                                                    NIL
Estimated deficiency/surplus as regards preferential creditors                                                25,456 81

Debts secured by floating charge pre 15 September 2003
Other Pre 15 September 2003 Floating Charge Creditors
                                                                                                                    NIL
                                                                                                              25,456 81

Estimated prescribed part of net property where applicable (to carry forward)                                       NIL
Estimated total assets available for floating charge holders                                                  25,456 81

Debts secured by floating charges post 15 September 2003
                                                                                                                     NIL
Estimated deficiency/surplus of assets after floating charges                                                 25,456 81

Estimated prescribed part of net property where applicable (brought down)                                           NIL
Total assets available to unsecured creditors                                                                 25,456 81

Unsecured non-preferential claims (excluding any shortfall to floating charge holders)
        Claimants with Final Decision Obtained                                             27,758 01
        Associated Creditors                                                                4,285 02
        HM Revenue & Customs -EFRBS (Contingent)                                          113,000 00
         Contingent Creditors- P] Ciaims                                                  463,213 84
                                                                                                             608,256 87
Estimated deficiency/surplus as regards non-preferential creditors
(excluding any shortfall in respect of F.C's post 14 September 2003)                                        (582,800 06)

Estimated deficiency/surplus as regards creditors                                                           (582,800 06)

Issued and called up capital
         Ordinary Shareholders                                                                10,000 00
                                                                                                               10,000 00
Estimated total deficiensy/surplus as regards members                                                       (692,800 06)


                                                                                         oO
Signature     7                                        Date \ yr                Os   S
U1     (Lite & Pensions) Limited
Statement Of Affairs as at 14 May 2015

B - List of Creditors
Claimant with Final Decision Obtained

Name                                    Address                                                                     £
Mr D Bucknall                           nia                                                                        27,758 01


                                                                                                      Sub Total    27,758 01



Associated Creditors

Name                                    Address                                                                     £
CIB Wealth Management LLP               Beta House, Laser Quay, Culpepper Close, Rochester, ME2 4HU                 2,960 48
Real SIPP LLP                           Beta House, Laser Quay, Culpepper Close, Rochester, ME2 4HU                 1,324 54

                                                                                                      Sub Total     4,285 02


Contingent Unsecured Creditors
Name                                    Address                                                                     £
Mr C Barrows                            n/a                                                                         8,213 84
Mr G Trodden                            nla                                                                         5,000 00
Mr J Rhea                               na                                                                        150,000 00
Miss A Smith                            na                                                                          5,000 00
Mrs A Winerbourne                       a                                                                          45,000 00
The Financial Ombudsman                 Exchange Tower, London, E14 9SR                                           250,000 00
HM Revenue & Customs (EFRBS)            Counter- Avoidance Team, PO Box 30002, Glasgow, G70 6AG                   113,000 00

                                                                                                      Sub Total   576,213 84

                                                                                                          Total   608,256 87




Signature