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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

                                                                                                                 09014475


                           Name of Company


                             Peppercorn Hospitality Limited         7


                           1/We

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




                           the liquidator(s) of the above named company attach a statement of the company affairs
                           as at 28 January 2015




                                                                                                                   oY

                           Signed —        CL                  -“                      Date           28 January 2015
                                                —_—


                           Griffin & King Insolvency




                           ae
                                                                                              For Official Use
                           26/28 Goodall Street




                                                                                        IITA
                           Walsall                                      Ins
                                                                              FRIDAY




                            Ref   PEPS0O1/TFC
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                                                                                                 COMPANIES HOUSE
Rule 4 34-CVL                                                                           Form 4 19

                Statement of Affairs

                Statement as to affairs of

                Peppercorn Hospitality Limited

                on the 28 January 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                     fPPETIR          MATE

                Signed                                y/
                                                    Via


                Dated                          2¢/orl         201
Peppercorn Hospitality Limited
Statement Of Affairs as at 28 January 2015

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

Assets subject to fixed charge

Assets subject to floating charge

Uncharged assets:
Barclays Bank Plc                                                         45 00                            Uncertain

Estimated total assets available for preferential creditors                                                      NIL


                                                                          }             o
Signature                                  :        Date      28/or           201   \
_ Peppercorn Hospitality Limited
  Statement Of Affairs as at 28 January 2015

 A1 - Summary of Liabilities
                                                                                                           Estimated to
                                                                                                                Realise
                                                                                                                       £

 Estimated total assets available for preferential creditors (Carried from Page A)                                    NIL

 Liabilities
      Preferential Creditors -
                                                                                                                      NIL
  Estimated deficiency/surplus as regards preferenttal creditors                                                      NIL

 Debts secured by floating charge pre 15 September 2003
 Other Pre 15 September 2003 Floating Charge Creditors
                                                                                                                      NIL
                                                                                                                      NIL

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

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

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

  Unsecured non-preferential claims (excluding any shortfall to floating charge holders)
          Trade & Expense Creditors                                                            25,435 00
          Directors Loan Account - Pratik Hate                                                 21,000 00
          H M Revenue & Customs - VAT                                                           9,000 00
          H M Revenue & Customs - PAYE                                                          2,500 00
                                                                                                               57,935 00
  Estimated deficiency/surplus as regards non-preferential creditors
  (excluding any shortfall in respect of F.C’s post 14 September 2003)                                        (57,935 00)

  Estimated deficiency/surplus as regards creditors                                                           (57,935 00)

  Issued and called up capital
          Ordinary Shareholders                                                                   (1 00)
                                                                                                                   (1.00)
  Estimated total deficiency/surplus as regards members                                                       (57,934 00)


                                                                                           _
  Signature         f            <a                     Date   2&7      aft Joo
Griffin & King Insolvency
Peppercorn Hospitality Li mited
Unsecured Creditors Statement of Affairs Figures


Key           Name                                                                  £

CA00          Advent Fire & Security                                         300 00
ccoo          Carisberg UK Limited                                           270 00
cco1          Cannock Chase Council                                        3,000 00
cco2          CNG Gas                                                        800 00
CCO3          Cannock Chase Council                                          700 00
CFO00         Fortress Recycling                                             300 00
CG00          Garden Group                                                 5,000 00
CG01          Golden Foods                                                 7,000   00
CHO00         HM Revenue & Customs - VAT                                   9,000   00
CHO01         HM Revenue & Customs - PAYE                                  2,500   00
CJ00          J K Foods                                                    3,500   00
co0o          Opus Energy                                                  1,200 00
co01          Ovo Energy Limited                                             300 00
CPO0          PRS for Music                                                  300 00
CP01          Plus Net                                                        50 00
CP02          Palmer Pest Control Limited                                      50 00
CP03          Pratik Hate                                                 21,000 00
csoo          South Staffordshire Water                                      500 00
CT00          Theatres Online                                              1,200 00
CT01          Titan Telecom                                                   25 00
CT02          Taxlite                                                        800 00
CT03          The Best of Cannock                                             140 00

22 Entries Totalling                                                      57,935.00

@ - Denotes associate creditor




Signature                                          2s/or (201
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