Form 4.20
Rule 4.34 - CVL
395/99
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
03170013
Name of Company
Medivia! Limited
We
Richard Andrew Segal Jamie Taylor
The Old Exchange The Old Exchange
234 Southchurch Road 234 Southchurch Road
Southend-on-Sea Southend-on-Sea
Essex Essex, SS1 2EG
SS1 2EG
the liquidator(s) of the above named company attach a statement of the company affairs
as at 20 January 2009
_—
Signed ou 20 January 2009
a /_\
feng r
( Begbies Traynor
The Old Exchange
For T Use
234 Southchurch Road
Southend-on-Sea
Essex
$S$12EG
Ref: M1068/CFB/PRT/AG
Software Supplied by Turnkey Computer Technology Limited. Glasgow
COMPANIES HOUSE
Rule 4.34-CVL Form 4.19
Statement of Affairs
Statement as to affairs of
Medivial Limited
on the 20 January 2009 the date of the resolution for winding up
AFFIDAVIT
This affidavit must be sworn or affirmed before a Solicitor or Commissioner of
Oaths when you have completed the rest of this form.
| James O'Connor, 61, London Road, Shenley, Hertfordshire, WD7 9BW
Make oath and say that the several pages exhibited hereto and marked A,A1,A3, A4
& AS are to the best of my knowledge and belief a full, true and complete statement
as to the affairs of the above named company as at 20 January 2009 the date of the
resolution for winding up and that the said company carried on business as Medical
& Cosmetic Vial Production
HARBOTTLE LEWIS
& 1 LLP
Sworn/affirmed at 14 Hanovet Senate, London
Loade W1S | HP
Date 29 Janw ~~" QD Om
Signatures au ae Se
Before Me
a
A Solicitor Gemmissicner-ef
or Oaths o-duly authorised officer
Before swearing the affidavit the Solicitor or Commissioner is particularly requested to make
sure that the full name, address and description of the Deponent are stated, and to initial any
crossings-out or other alterations in the printed form. A deficiency in the affidavit in any of the
above respects will mean that it is refused by the court, and will necessitate its being re-sworn.
Mediviat Limited
Statement Of Affairs as at 20 January 2009
A- Summary of Assets
Estimated to
Assets Book Vaiue Realise
£ £
Assets subject to fixed charge:
Book Debts 123,275.00 70,000.00
Lloyds TSB Commercial Finance (105,878.00)
Deficiency c/d (35,878.00)
Assets subject to floating charge:
Uncharged assets:
Cash at Bank 2,450.00 2,450.00
Cash with agents re sale of assets 135,000.00 135,000.00
Debtor re sale of assets 25,000.00 25,000.00
Estimated total assets available for preferential creditors 162,450.00
Signature a-Lizce.
Medivial Limited
Statement Of Affairs as at 20 January 2009
A1 - Summary of Liabilities
Estimated to
Realise
£
Estimated total assets available for preferential creditors (Carried from Page A) 162,450.00
Liabilities
Preferential Creditors:-
Employees Wages/holiday pay-est 35,000.00
35,000.00
Estimated deficiency/surplus as regards preferential creditors 127,450.00
Estimated prescribed part of net property where applicable (to carry forward) NIL
Estimated total assets available for floating charge holders 127,450.00
Debts secured by floating charges
Deficiency b/d 35,878.00
35,878.00
Estimated deficiency/surplus of assets after floating charges 91,572.00
Estimated prescribed part of net property where applicable (brought down) NIL
Total assets available to unsecured creditors 91,572.00
Unsecured non-preferential claims (excluding any shortfall to floating charge holders)
Shortfall to preferential creditors (brought down) NIL
Trade & Expense Creditors 238,328.00
Employees-wages 112,000.00
Directors loan- Mrs J O'Connor 290,000.00
Directors loan- J O'Connor 91,000.00
HM Revenue & Customs-paye/ni 319,374.00
HM Revenue & Customs-vat 87,990.00
1,138,692.00
Estimated deficiency/surplus as regards non-preferential creditors
(excluding any shortfall to floating charge holders) (1,047, 120.00)
Estimated deficiency/surplus as regards creditors (1,047 ,120.00)
Issued and called up capital
Ordinary Shareholders 100.00
100.00
Estimated total deficiency/surplus as regards members (1,047,220.00)
Signature Date I L204,
"19/0209 Begbies Traynor Page 1
AS - Moding Gherge Creditors Statement of Aris Figures
£
105,878.00
CLo2 Lloyds TS8 Commercial Finance Ltd
no 1 Brookhill Way
Banbury
Oxfordshire
OX16 3EL
1 Entries Totaling 105,878.00
Signature | — Date___ 2, [2 0-4.
49/01/2009 15:15:02 Version 2.00 Page |
"49/07/2009 . Begbies Traynor Page 1
£
CE02 Employees-wages/noliday pay 35,000.00
various
1 Entries Totaling 35,000.00
a
{
Signature NL Date sel bret.
19/01/2009 15:15:35 Version 2.00 Page 1
"49/01/2009 , Begbies Traynor
§ SEimEt of izle Mgures
CAQO ADT Fire & Security Ple
PO Box 352
Manchester
M16 9XY
10,617.43
CAO1 Alcan Packaging Pharmaceutical
& Personal Care
1011 Wheaton Avenue
Millville, NJ 08332
USA
5,112.30
CA04 Alce SAS
Via Salvo D'Acquisto 24
27010 SIZANO (PV)
ITALY
3,102.14
CB01 Biffa Waste Services
Head Office
Coronation Road
Cressex
High Wycombe
Bucks, HP12 3TZ
275.57
CB02 Bolt & Bearing (London) Ltd
Unit 85
Valley Link Estate
Meridian Way
Enfield
EN3 4TY
510.60
CB03 B.T.
Business Division
170-175 Moor Lane
Preston
Lancs
PR1 1BA
9,680.77
CB04 Business Gas
PO Box 213
Albert Road
Bamet
Herts
EN4 9SP
623.93
ccoo Cadisch Precision Meshes Ltd
Unit 1, Finchley Industria! Centre
879 High Road
Finchley
London
N12 8OA
3,107.34
cco1 Campbell McLeave Southern Region
Signature
19/01/2009 15:16:30 Version 2.00 Page 1
49/01/2009 , Begbies Traynor
Seiomento’ Atiare Figuies
Unit 15 Haslemere Industrial Estate
Liddatl Way
West Drayton
Middlesex
UB7 8PG
288.12
cco2 Capital Wholesate Limited
Unit BS
Connaught Business Centre
Hyde Estate Road
London
NW9 6JL
2,567.17
cc03 Cocap London Ltd
Unit 3 Atlas Business Centre,
Oxgate Lane,
London
NW2 7HJ
19,508.16
CEOO E.On Energy
PO Box 123
Nottingham
NG1 6HO
795.00
CE01 Euro Dividers SA
16 Rue de l'industrie
7321 Bernissan
Belgium
112,000.00
CE04 Employees-wages
various
338.40
cGot GIS Industria! Supply Co. Limited
23/24 Hillgrove Business Park
Nazeing Road
Nazeing
Essex
ENS 2HB
37,302.16
CG02 Gerresheimer Pisa S.p.A.
Via Montelungo, 4
56122 PISA
ITALY
371.11
CHO3 Hudson Packaging Limited
Signature Date fi frue4,
Page 2
19/01/2009 15:16:30 Version 2.00
” 49/01/2009 , Begbies Traynor
Meatutet canned
24 Campbell close
Wickford
Essex
$$12 SHL
cloo isotron Plc 1,650.00
Moray Road
Elgin Sndustria! Estate
Swindon
Berkshire
SN2 8XS
cto1 Lightning Packaging Supplies 48.68
Frobisher Way
Hatfield Business Park
Hatfield
Herts
AL10 STY
CNOoO Nekem Limited 2,538.74
Trinity Street
Hull
East Yorkshire
HU3 1JR
: CNO1 Neubor Glass S.p.A 35,575.00
Via Murano
2 - Zona Ind. Ponte Rosso
33078 S.Vito al Tagliamento (PN)
ITALY
CPO0O Patlet Co. Limited 2,253.84
Rubastic Road
Off Brent Road
Southall
Middlesex
UB2 5LL
CPO1 Prior Packaging Ltd 8,221.73
Unit 87
Rivereside 3
Sir Thomas Longley Road
Medway City Estate
Rochester, Kent, ME2 4BH
350.54
CROO RBS {nvoice Finance
Smith House
PO Box 50
Etmwood Avenue
Feltham
Middx, TW13 70D
cso1 Schott Rohrglass GmbH 62,979.71
Signature Date el bres,
19/01/2009 15:16:30 Version 2.00 Page 3
19/01/2009
Erich-Schott-Strasse
Postfach 1180
D-95660
Mitterteich
GERMANY
3,290.64
CS02 Security Escorts
Unit 3 Sovereign Park
coronation Road
Park Royal
London
NW10 7QP
24,884.65
CS03 Silver Levene
37, Warten Street,
London,
WiT 6AD
463.99
CTOO Technische Glaswerke Ilmenau
Am Vogelherd 74
98693 IImenau
GERMANY
1,130.95
cTot The Imagesetting Bureau
Hillary Press
75 Church Road
Hendon
London
NW4 4DP
§05.23
cvoo Viking Direct
PO Box 279
Leicester
LE3 1YU
30 Entries Totaling 350,327.82
Signature Date 21; lice4,
Version 2.00
Page 4
19/01/2009 15:16:30
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