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Rule 4.34 — CVL                                                                             Form 4.20
                                                                                           S.95/99

             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

                                                                          [8211533                   |
   (a) inset full
    name of
    company           Name of Company

                     (a) RHYS MORGAN COFFEE LIMTED



    (b) Insert full (b) |      GARY STONES F.C CA
    name(s) and                STONES & CO
    address(es)                63 WALTER ROAD
                               SWANSEA
                               SA1 4PT

    (c) Insert      the Liquidator of the above named company attach a Statement of the
    date            Company's Affairs as at (c) 17th April 2015




                  Signed         Co_ fr                                Dated: 17th April 2015



                                                                   For Official Use

Presenters        GARY STONESFCCA                 Liquidation Section                 Post Room
Name,             STONES & CO
Address and 63 WALTER          ROAD
Ref (if any)      SWANSEA                                         >
                  SA1 4PT                                         5x
                                                                  =)

                  GS/LMc/TL/M289                                  <                   “AASKGAN?*
                                                                           A12         18/04/2015    #245
                                                                                   COMPANIES HOUSE
Rule 4.34 -CVL                                                                     Form 4.19

                  STATEMENT OF AFFAIRS

                  Statement as to the Affairs of Rhys Morgan Coffee Limited

                  (Co No      8211533)


                  on the 17th April 2015 being a date not more than 14 days before

                  the resolution for winding up


                  STATEMENT OF TRUTH

(a) Insert name | (a)      Rhys Andrew Howell-Morgan
and occupation
                           Company Director

(b) Insert full   of (b)   19 Penpentre, Brecon,
Address
                           Powys, LD3 8DG


                  believe that the facts stated in this Statement of Affairs are true


                  Full Name              Rhys Andrew Howell-Morgan



                  Signed


                  Dated                  17th Apri 2015
   wey




A - Summary of Assets


                                                                       Book       Estimated to
                                                                       Value         Realise
                                                                          £             £

Assets Subject to Fixed Charge -




Assets Subject to Floating Charge:-




Uncharged Assets’-

Goodwill                                                                   3717        Nil

Cash at Bank - Realisations Account                                        4000       4000




Estimated total assets available for Preferential Creditors                           4000


            (\)        \                             17th April 2015
Signature         _/                       Date
A1 — Summary of Liabilities


                                                                              Estimated to
                                                                                 Realise
                                                                                   £
Estimated total assets available for Preferential Creditors
(carned from page A)                                                            4000
Less Liabilities

Preferential Creditors.-



Estimated deficiency/surplus as regards Preferential Creditors                  4000
Estimated Prescribed Part of net property where applicable (to
carry forward)

Estimated total assets available for Floating Charge holders                    4000
Debts secured by Floating Charges


Estimated deficiency/surplus of assets after Floating Charges                   4000

Estimated Prescribed Part of net property where applicable
(brought down)

Total assets available to Unsecured Creditors                                   4000

Unsecured Non-Preferential Claims:-
(excluding any shortfall to Floating Charge holders)

Trade & Expense Creditors
HM Revenue & Customs - PAYE & NIC and VAT
HSBC Bank Plc

                                                                              (22960)

Estimated deficiency/surplus as regards Non-Preferential                      (18960)
Creditors (excluding any shortfall to Floating Charge holders)


Shortfall to Floating Charge holders (brought down)
Estimated deficiency/surplus as regards Creditors                         £   (18960)
Issued and Called Up capital:-
Ordinary Share of £1                                                          (1)
Estimated total deficiency/surplus as regards Members                     £   (18961)


             Lo



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