In accordance with Rule 3.75(9) of The Insolvency () COM1 (Scot) ( Voluntary Arrangements and Notice of establishment of creditors’ Administration) Rules 2018. committee (administration)

For further information, please refer to our guidance at www.gov.uk/companieshouse

Part A Company and administrator’s details

A1 Company details Company number Filling in this form Please complete in typescript or in Company name in full bold black capitals.

A2 Administrator’s name Full forename(s) Surname A3 Administrator’s address Building name/number Street

Post town County/Region

Postcode

Country

04/19 Version 1.0 COM1 (Scot) Notice of establishment of creditors’ committee (administration)

A2 Administrator’s name 1 Full forename(s) 1 Other administrator Use this section to tell us about Surname another administrator.

A3 Administrator’s address 2 Building name/number 2 Other administrator Use this section to tell us about Street another administrator.

Post town County/Region

Postcode

Country

Part B Committee

Show the details of committee members who are individuals

Individual member B1 Member name Full forename(s) Surname B2 Member address Building name/number Street

Post town County/Region

Postcode

Country

04/19 Version 1.0 COM1 (Scot) Notice of establishment of creditors’ committee (administration)

Individual member B1 Member name Full forename(s) Surname B2 Member address Building name/number Street

Post town County/Region

Postcode

Country

Individual member B1 Member name Full forename(s) Surname B2 Member address Building name/number Street

Post town County/Region

Postcode

Country

04/19 Version 1.0 COM1 (Scot) Notice of establishment of creditors’ committee (administration)

Individual member B1 Member name Full forename(s) Surname B2 Member address Building name/number Street

Post town County/Region

Postcode

Country

Individual member B1 Member name Full forename(s) Surname B2 Member address Building name/number Street

Post town County/Region

Postcode

Country

04/19 Version 1.0 COM1 (Scot) Notice of establishment of creditors’ committee (administration)

B3 Corporate members

Show the details of corporate committee members.

Corporate member details Registered number Registered name in full

Corporate member details Registered number Registered name in full

Corporate member details Registered number Registered name in full

Corporate member details Registered number Registered name in full

Corporate member details Registered number Registered name in full

04/19 Version 1.0 COM1 (Scot) Notice of establishment of creditors’ committee (administration)

B4 Constitution of committee

The committee has been duly constituted.

Part C Signature

C1 Sign and date Administrator’s Signature signature

Signature date d d m m y y y y

04/19 Version 1.0 COM1(Scot) Notice of establishment of creditors’ committee (administration)

Presenter information ! Important information You do not have to give any contact information, but if All information on this form will appear on the you do it will help House if there is a query public record. on the form. The contact information you give will be visible to searchers of the public record.

Contact name Where to send Company name You may return this form to any Companies House address, however for expediency we advise you to return it to the address below: Address The , Companies House, Fourth floor, Quay 2, 139 Fountainbridge, Edinburgh, Scotland, EH3 9FF. DX ED235 Edinburgh. Post town

County/Region

Postcode Further information Country i For further information please see the guidance notes DX on the website at www.gov.uk/companieshouse

Telephone or email [email protected]

Checklist This form is available in an We may return forms completed incorrectly or alternative format. Please visit the with information missing. forms page on the website at

Please make sure you have remembered the www.gov.uk/companieshouse following: The company name and number match the information held on the public Register. You have signed the form.

This form has been provided free of charge by Companies House. 04/19 Version 1.0