06/16 Version 9.0
A1
Company details
Company name in full
Company number
AR01 2015
In accordance with
Section 854 of the
Companies Act 2006.
Annual Return
What this form is for
You may use this form to confirm
that the company information is
correct as at the date of this return.
You must file an Annual Return at
least once every year.
What this form is NOT for
You cannot use this form to give
notice of changes to the company
officers, registered office address,
company type or information
relating to the company records.
For further information, please
refer to our guidance at
www.gov.uk/companieshouse
Filling in this form
Please complete in typescript or in
bold black capitals.
All fields are mandatory unless
specified or indicated by *
A3
Principal business activity
Date of this return
Your company’s return date
is usually the anniversary of
incorporation or the anniversary
of the last annual return filed at
Companies House. You may choose
an earlier return date but it must not
be a later date.
A2
Return date
3
Principal activity
description
Classification code 1
Principal business activity
You must provide a trade
classification code (SIC code 2007)
or a description of your company’s
main business in this section.
A full list of the trade classification
codes are available on our website:
www.gov.uk/companieshouse
3
Please give the annual return made up date. The return date must not be a future
date. The annual return must be delivered within 28 days of the date given below.
d d
m m
y y y y
Date of this return
A fee is payable with this form
Please see ‘How to pay’ on the
last page.
Company name change
If your company has recently
changed its name, please provide
the company name as at the date of
this return.
Please show the trade classification code number(s) for the principal
activity or activities.
Classification code 2
Classification code 3
Classification code 4
If you cannot determine a code, please give a brief description of your
business activity below:
Part 1
Company details
The section must be completed by all companies.
1
2
2
1
Go online to file this information
www.gov.uk/companieshouse
06/16 Version 9.0
AR01 2015
Annual Return
Company type
If you are unsure of your company
type, please check your latest
certificate of incorporation or our
website:
www.gov.uk/companieshouse
A4
Company type
1
Please confirm your company type by ticking the appropriate box below (only
one box must be ticked):
Public limited company
Private company limited by shares
Private company limited by guarantee
Private company limited by shares exempt under section 60
Private company limited by guarantee exempt under section 60
Private unlimited company with share capital
Private unlimited company without share capital
1
Building name/number
Street
Post town
County/Region
Postcode
A5
Registered office address
Change of registered office
This must agree with the address
that is held on the Companies House
record at the date of this return.
If the registered office address has
changed, you should complete form
AD01 and submit it together with
this annual return.
2
2
Building name/number
Street
Post town
County/Region
Postcode
A6
Single alternative inspection location (SAIL) of the company records (if applicable)
SAIL address
This must agree with the address
that is held on the Companies House
record at the date of this return.
If the address has changed, you
should complete form AD02 and
submit it together with this annual
return.
3
3
Location of company records
If the company records are held at
the registered office address, do not
tick any of the boxes in this section.
Certain records must be kept by
every company while other records
are only kept by certain company
types where appropriate.
If the records are not kept at the
SAIL address, they must be available
at the registered office.
If any of the company records have
moved from the registered office
to the address in Section A6 since
the last annual return, you must
complete form AD03 and submit it
together with this annual return.
A7
Location of company records
Please tick the appropriate box to indicate which records are kept at the SAIL
address in Section A6:
Register of people with significant control.
Register of members.
Register of directors.
Directors’ service contracts.
Directors’ indemnities.
Register of secretaries.
Records of resolutions etc.
Contracts relating to purchase of own shares.
Documents relating to redemption or purchase of own share out of
capital by private company.
Register of debenture holders.
Report to members of outcome of investigation by public company into
interests in its shares.
Register of interests in shares disclosed to public company.
Instruments creating charges and register of charges: England and Wales
or Northern Ireland.
Instruments creating charges and register of charges: Scotland.
4
4
06/16 Version 9.0
AR01 2015
Annual Return
This section should include details of the company as at the made up date
of this annual return. All details must agree with those previously notified to
Companies House.
Corporate officers
For a corporate secretary, go to Section B1
For a corporate director, go to Section C1
Individual officers
For a secretary who is an individual, go to Section D1
For a director who is an individual, go to Section E1 and also
complete Part 3
New appointments
You cannot use this form to appoint new officers to the company. To do this,
please complete the appropriate form and submit it together with this annual
return:
AP01 - for directors who are individuals
AP02 - for a corporate director
AP03 - for secretaries who are individuals
AP04 - for a corporate secretary
Change to officer details
You cannot use this form to change any officer details. To do this, please
complete the appropriate form and submit it together with this annual return:
CH01 - for changes to details of directors who are individuals
CH02 - for changes to details of a corporate director
CH03 - for changes to details of secretary who are individuals
CH04 - for changes to details of a corporate secretary
Part 2
Officers of the company
Continuation pages
Please use a continuation page
if you need to enter more officer
details.
06/16 Version 9.0
AR01 2015
Annual Return
Corporate secretary
appointments
You cannot use this form to appoint
a corporate secretary. To do this,
please complete form AP04 and
submit it together with this annual
return.
Corporate secretary details
All details must agree with those
previously notified to Companies
House. If you have made changes
since the last annual return and have
not notified us, please complete
form CH04.
This information will appear on the
public record.
Continuation pages
Please use a continuation page
if you need to enter more officer
details.
B1
Corporate secretary’s details
1
Corporate body/firm
name
Building name/number
Street
Post town
County/Region
Country
Postcode
Is the corporate secretary registered within the European Economic Area (EEA)?
Yes Complete Section B3 only
No Complete Section B4 only
Where the company/
firm is registered
Please give details of the register where the company file is kept (including the
relevant state) and the registration number in that register.
Registration number
B3
EEA companies
EEA
A full list of countries of the EEA can
be found in our guidance:
www.gov.uk/companieshouse
This is the register mentioned in
Article 3 of the First Company Law
Directive (68/151/EEC).
2
2
3
3
1
Governing law
B4
Non-EEA companies
Please give details of the legal form of the corporate body or firm and the law
by which it is governed. If applicable, please also give details of the register
in which it is entered (including the state) and its registration number in that
register.
If applicable, where
the company/firm is
registered
Legal form of the
corporate body
or firm
Non-EEA
Where you have provided details of
the register (including state) where
the company or firm is registered,
you must also provide its number in
that register.
If applicable, the
registration number
Please use this section for corporate secretaries of the company.
For a secretary who is an individual, complete Section D1-D2.
Corporate secretary
B2
Location of the registry of the corporate body or firm
4
4
06/16 Version 9.0
AR01 2015
Annual Return
Corporate director appointments
You cannot use this form to appoint
a corporate director. To do this,
please complete form AP02 and
submit it together with this annual
return.
Corporate director details
All details must agree with those
previously notified to Companies
House. If you have made changes
since the last annual return and have
not notified us, please complete
form CH02.
This information will appear on the
public record.
Continuation pages
Please use a continuation page
if you need to enter more officer
details.
C1
Corporate director’s details
1
Corporate body/firm
name
Building name/number
Street
Post town
County/Region
Country
Postcode
Is the corporate director registered within the European Economic Area (EEA)?
Yes Complete Section C3 only
No Complete Section C4 only
Where the company/
firm is registered
Please give details of the register where the company file is kept (including the
relevant state) and the registration number in that register.
Registration number
C3
EEA companies
EEA
A full list of countries of the EEA can
be found in our guidance:
www.gov.uk/companieshouse
This is the register mentioned in
Article 3 of the First Company Law
Directive (68/151/EEC).
2
2
3
3
1
Governing law
C4
Non-EEA companies
Please give details of the legal form of the corporate body or firm and the law
by which it is governed. If applicable, please also give details of the register
in which it is entered (including the state) and its registration number in that
register.
If applicable, where
the company/firm is
registered
Legal form of the
corporate body
or firm
Non-EEA
Where you have provided details of
the register (including state) where
the company or firm is registered,
you must also provide its number in
that register
If applicable, the
registration number
Please use this section for corporate directors of the company.
For a director who is an individual, complete Section E1-E2 and Part 3.
Corporate director
C2
Location of the registry of the corporate body or firm
4
4
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AR01 2015
Annual Return
Title*
Full forename(s)
Surname
Former name(s)
D1
Secretary’s details
Please use this section for individual secretaries of the company.
For a corporate secretary, complete Section B1-B4.
Secretary appointments
You may not use this form to
appoint a secretary. To do this,
please complete form AP03 and
submit it together with this annual
return.
Corporate details
Please use Section B1-B4 to enter
corporate secretary details.
Secretary details
All details must agree with those
previously notified to Companies
House. If you have made changes
since the last annual return and
have not notified us, please
complete form CH03.
Former name(s)
Please provide any previous names
(including maiden or married names)
which have been used for business
purposes during the period of this
return.
Continuation pages
Please use a continuation page
if you need to enter more officer
details.
1
1
Building name/number
Street
Post town
County/Region
Country
Postcode
D2
Secretary’s service address
Service address
If you have previously notified
Companies House that the service
address is at ‘The Company’s
Registered Office’, please state ‘The
Company’s Registered Office’ in the
address.
This information will appear on the
public record.
3
Secretary
3
2
2
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AR01 2015
Annual Return
Service address
If you have previously notified
Companies House that the service
address is at ‘The Company’s
Registered Office’, please state ‘The
Company’s Registered Office’ in the
address.
This information will appear on the
public record.
E2
Director’s service address
Building name/number
Street
Post town
County/Region
Country
Postcode
Director
Former name(s)
Country/State of
residence
Business occupation
(if any)
Director appointments
You cannot use this form to
appoint a director. To do this, please
complete form AP01 and submit it
together with this annual return.
Corporate details
Please use Section C1-C4 to enter
corporate director details.
Director details
All details must agree with those
previously notified to Companies
House. If you have made changes
since the last annual return and
have not notified us, please
complete form CH01.
Former name(s)
Please provide any previous names
(including maiden or married names)
which have been used for business
purposes during the period of this
return.
Month and year of birth
Please provide month and year only.
Provide full date of birth in
Part 3 only.
Continuation pages
Please use a continuation page
if you need to enter more officer
details.
E1
Director’s details
1
Title*
Full forename(s)
Surname
2
3
Nationality
Please use this section to list individual directors of the company.
For a corporate director, complete Section C1-C4.
2
1
4
4
3
Month/year of birth
m m y y y y
X X
06/16 Version 9.0
AR01 2015
Annual Return
Service address
If you have previously notified
Companies House that the service
address is at ‘The Company’s
Registered Office’, please state ‘The
Company’s Registered Office’ in the
address.
This information will appear on the
public record.
E2
Director’s service address
Building name/number
Street
Post town
County/Region
Country
Postcode
Director
Former name(s)
Country/State of
residence
Business occupation
(if any)
Director appointments
You cannot use this form to
appoint a director. To do this, please
complete form AP01 and submit it
together with this annual return.
Corporate details
Please use Section C1-C4 to enter
corporate director details.
Director details
All details must agree with those
previously notified to Companies
House. If you have made changes
since the last annual return and
have not notified us, please
complete form CH01.
Former name(s)
Please provide any previous names
(including maiden or married names)
which have been used for business
purposes during the period of this
return.
Month and year of birth
Please provide month and year only.
Provide full date of birth in
Part 3 only.
Continuation pages
Please use a continuation page
if you need to enter more officer
details.
E1
Director’s details
1
Title*
Full forename(s)
Surname
2
3
Nationality
Please use this section to list individual directors of the company.
For a corporate director, complete Section C1-C4.
2
1
4
4
3
Month/year of birth
m m y y y y
X X
06/16 Version 9.0
AR01 2015
Annual Return
Service address
If you have previously notified
Companies House that the service
address is at ‘The Company’s
Registered Office’, please state ‘The
Company’s Registered Office’ in the
address.
This information will appear on the
public record.
E2
Director’s service address
Building name/number
Street
Post town
County/Region
Country
Postcode
Director
Former name(s)
Country/State of
residence
Business occupation
(if any)
Director appointments
You cannot use this form to
appoint a director. To do this, please
complete form AP01 and submit it
together with this annual return.
Corporate details
Please use Section C1-C4 to enter
corporate director details.
Director details
All details must agree with those
previously notified to Companies
House. If you have made changes
since the last annual return and
have not notified us, please
complete form CH01.
Former name(s)
Please provide any previous names
(including maiden or married names)
which have been used for business
purposes during the period of this
return.
Month and year of birth
Please provide month and year only.
Provide full date of birth in
Part 3 only.
Continuation pages
Please use a continuation page
if you need to enter more officer
details.
E1
Director’s details
1
Title*
Full forename(s)
Surname
2
3
Nationality
Please use this section to list individual directors of the company.
For a corporate director, complete Section C1-C4.
2
1
4
4
3
Month/year of birth
m m y y y y
X X
06/16 Version 9.0
AR01 2015
Annual Return
Service address
If you have previously notified
Companies House that the service
address is at ‘The Company’s
Registered Office’, please state ‘The
Company’s Registered Office’ in the
address.
This information will appear on the
public record.
E2
Director’s service address
Building name/number
Street
Post town
County/Region
Country
Postcode
Director
Former name(s)
Country/State of
residence
Business occupation
(if any)
Director appointments
You cannot use this form to
appoint a director. To do this, please
complete form AP01 and submit it
together with this annual return.
Corporate details
Please use Section C1-C4 to enter
corporate director details.
Director details
All details must agree with those
previously notified to Companies
House. If you have made changes
since the last annual return and
have not notified us, please
complete form CH01.
Former name(s)
Please provide any previous names
(including maiden or married names)
which have been used for business
purposes during the period of this
return.
Month and year of birth
Please provide month and year only.
Provide full date of birth in
Part 3 only.
Continuation pages
Please use a continuation page
if you need to enter more officer
details.
E1
Director’s details
1
Title*
Full forename(s)
Surname
2
3
Nationality
Please use this section to list individual directors of the company.
For a corporate director, complete Section C1-C4.
2
1
4
4
3
Month/year of birth
m m y y y y
X X
06/16 Version 9.0
AR01 2015
Annual Return
Service address
If you have previously notified
Companies House that the service
address is at ‘The Company’s
Registered Office’, please state ‘The
Company’s Registered Office’ in the
address.
This information will appear on the
public record.
E2
Director’s service address
Building name/number
Street
Post town
County/Region
Country
Postcode
Director
Former name(s)
Country/State of
residence
Business occupation
(if any)
Director appointments
You cannot use this form to
appoint a director. To do this, please
complete form AP01 and submit it
together with this annual return.
Corporate details
Please use Section C1-C4 to enter
corporate director details.
Director details
All details must agree with those
previously notified to Companies
House. If you have made changes
since the last annual return and
have not notified us, please
complete form CH01.
Former name(s)
Please provide any previous names
(including maiden or married names)
which have been used for business
purposes during the period of this
return.
Month and year of birth
Please provide month and year only.
Provide full date of birth in
Part 3 only.
Continuation pages
Please use a continuation page
if you need to enter more officer
details.
E1
Director’s details
1
Title*
Full forename(s)
Surname
2
3
Nationality
Please use this section to list individual directors of the company.
For a corporate director, complete Section C1-C4.
2
1
4
4
3
Month/year of birth
m m y y y y
X X
06/16 Version 9.0
AR01 2015
Annual Return
Service address
If you have previously notified
Companies House that the service
address is at ‘The Company’s
Registered Office’, please state ‘The
Company’s Registered Office’ in the
address.
This information will appear on the
public record.
E2
Director’s service address
Building name/number
Street
Post town
County/Region
Country
Postcode
Director
Former name(s)
Country/State of
residence
Business occupation
(if any)
Director appointments
You cannot use this form to
appoint a director. To do this, please
complete form AP01 and submit it
together with this annual return.
Corporate details
Please use Section C1-C4 to enter
corporate director details.
Director details
All details must agree with those
previously notified to Companies
House. If you have made changes
since the last annual return and
have not notified us, please
complete form CH01.
Former name(s)
Please provide any previous names
(including maiden or married names)
which have been used for business
purposes during the period of this
return.
Month and year of birth
Please provide month and year only.
Provide full date of birth in
Part 3 only.
Continuation pages
Please use a continuation page
if you need to enter more officer
details.
E1
Director’s details
1
Title*
Full forename(s)
Surname
2
3
Nationality
Please use this section to list individual directors of the company.
For a corporate director, complete Section C1-C4.
2
1
4
4
3
Month/year of birth
m m y y y y
X X
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Annual Return
X
X
Do not remove pageDo not remove this page
Disclosure of director(s) date of birth
The next page must contain the name and full date of birth of all directors who
are individuals. The day of birth will not appear on the public record.
Please show the name and full date of birth for all
individual directors on the next page.
Part 3
Do not cover this barcode
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Annual Return
This page is not shown on the public record
Director’s name and full date of birth
Date of birth
You must give the full date of birth.
Continuation pages
Please use a continuation page if
you need to enter more directors’
dates of birth.
1
1
Do not cover this barcode
X
X
Please complete the name and full date of birth for all individual directors.
d d
d d
d d
d d
d d
d d
m m
m m
m m
m m
m m
m m
y y y y
y y y y
y y y y
y y y y
y y y y
y y y y
Date of birth
Date of birth
Date of birth
Date of birth
Date of birth
Date of birth
Name
Name
Name
Name
Name
Name
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Annual Return
X
X
Do not remove this page
Do not remove this page
This page is intentionally blank.
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Annual Return
Does your company have share capital?
Yes Complete the sections below and the following Part 5.
No Go to Part 6 (Signature).
Part 4
Statement of capital
This should reflect the company’s
capital status at the made up date of
this annual return.
1
1
Complete the table(s) below to show the issued share capital.
Complete a separate table for each currency (if appropriate). For example,
add pound sterling in ‘Currency table A’ and Euros in ‘Currency table B’.
F1
Share capital
Currency table A
Currency table B
Currency table C
Total aggregate amount
unpaid, if any (£, , $, etc)
Including both the nominal
value and any share premium
Class of shares
E.g. Ordinary/Preference etc.
Number of shares
Aggregate nominal value
(£, , $, etc)
Number of shares issued
multiplied by nominal value
Totals
Totals
Totals
Currency
Complete a separate
table for each currency
Totals (including continuation
pages)
Total number Total aggregate Total aggregate
of shares nominal value amount unpaid
11
1
Please list total aggregate values in different currencies separately.
For example: £100 + €100 + $10 etc.
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Annual Return
Voting rights
Please give the prescribed particulars of rights attached to shares for each class
of share shown in the statement of capital share tables in Section F1.
F2
Voting rights
Class of share
Voting rights
Class of share
Voting rights
Class of share
Voting rights
Class of share
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Annual Return
List of past and present shareholders
Does your company have share capital?
Yes go to Section G1 ‘Companies with share capital’.
No Go to Part 6 (Signature).
Part 5
Shareholders
Companies with share capital
Were any of the company’s shares admitted to trading on a market at any
time during this return period? Please tick the appropriate box below:
No go to Section G2 ‘Past and present shareholders’.
Yes go to Question 2.
Please only refer to Question 2 below if you have answered ‘Yes’ to
Question 1. If you answered ‘No’, please go to Section G2 ‘Past and present
shareholders’.
Did the company, throughout the return period, have any shares admitted to
trading on a relevant market and was it, throughout the return period, an issuer
to which DTR5 applies? Please tick the appropriate box below:
No go to Section G4 ‘Shareholders who hold at least 5% of any class
of shares of the company as at the made up date of the return’.
Yes go to Part 6 ‘Signature’
G1
A market is one established under
the rules of a UK recognised
investment exchange or any other
regulated markets in or outside of
the UK, or any other market outside
of the UK. The current UK recognized
investment exchanges and regulated
markets can be found at:
www.fsa.gov.uk/register/exchanges.do
DTR5 refers to the Vote Holder and
Issuer Notification Rules contained
in Chapter 5 of the Disclosure and
Transparency Rules source book
issued by the Financial Services
Authority. Notification is required
when the percentage acquisition of
a shareholder in the company has
reached a certain threshold (starting
at 3%).
1
2
2
1
Question 1
Question 2
The company is required to provide a full list of past and present shareholders
if one was not included with either of the last two returns. Please tick the
appropriate box below:
There were no shareholder changes in this period. Go to Part 6 (Signature).
A full list of shareholders is enclosed.
A list of shareholder changes is enclosed.
How is the list of shareholders enclosed. Please tick the appropriate
box below:
The list of shareholders is enclosed on paper. Go to Section G3. ‘List of
past and present shareholders’.
The list of shareholders is enclosed in another format. Go to
Part 6 (Signature).
This section only applies to
companies answering ‘No’ in
Section G1.
3
3
G2
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Annual Return
List of past and present shareholders
Changes during this period to shareholders’ particulars or details of the amount
of stock or shares transferred must be completed each year.
You must provide a ‘full list’ of all company shareholders on:
The company’s first annual return following incorporation;
Every third annual return after a full list has been provided.
G3
Please list the company shareholders
in alphabetical order.
Joint shareholders should be listed
consecutively.
Further shareholders
Please use a ‘List of past and present
shareholders’ continuation page if
necessary.
This section only applies to
companies answering ‘No’ to
Question 1 in Section G1.
Shareholder’s Name
(Address not required)
Class of share Date of registration
of transfer
Shares or stock
currently held
Shares or stock transferred (if appropriate)
Number of shares or
amount of stock
Number of shares or
amount of stock
/ /
/ /
/ /
/ /
/ /
/ /
/ /
/ /
/ /
/ /
/ /
/ /
1
1
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Annual Return
Shareholders who hold at least 5% of any class of share(s) of
the company as at the made up date of this return
This section should show only the shareholders that hold at least 5% of any
class of share(s) of the company at the date of this return.
It should only be completed by companies that have answered ‘Yes’ to
Question 1 in Section G1, and ‘No’ to Question 2 in Section G1.
If there were no shareholders holding at least 5% of any class of share(s) at the
date of this return, this section may be left blank.
Go to Part 6 (Signature)
G4
This section only applies to
companies answering ‘No’ to
Question 2 in Section G1.
Please list the company shareholders
in alphabetical order.
Joint shareholders should be listed
consecutively.
Further shareholders
Please use a ‘Shareholders who hold
at least 5% of any class of share(s)
of the company as at the made up
date of this return’ continuation
page if necessary.
Shareholder’s name Shareholder’s address Class of share
Shares or stock currently held
Number of shares or
amount of stock
06/16 Version 9.0
AR01 2015
Annual Return
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2
I am signing this form on behalf of the company.
Societas Europaea
If the form is being filed on behalf
of a Societas Europaea (SE) please
delete ‘director’ and insert details
of which organ of the SE the person
signing has membership.
Person authorised
Under either section 270 or 274 of
the Companies Act 2006.
This form may be signed by:
Director , Secretary, Person authorised , Charity commission receiver and
manager, CIC manager, Judicial factor.
Signature
Signature
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2
Part 6
Signature
This must be completed by all companies.
Do not cover this barcode
06/16 Version 9.0
AR01 2015
Annual Return
Where to send
You may return this form to any Companies House
address, however for expediency we advise you to
return it to the appropriate address below:
For companies registered in England and Wales:
The Registrar of Companies, Companies House,
Crown Way, Cardiff, Wales, CF14 3UZ.
DX 33050 Cardiff.
For companies registered in Scotland:
The Registrar of Companies, Companies House,
Fourth floor, Edinburgh Quay 2,
139 Fountainbridge, Edinburgh, Scotland, EH3 9FF.
DX ED235 Edinburgh 1
or LP - 4 Edinburgh 2 (Legal Post).
For companies registered in Northern Ireland:
The Registrar of Companies, Companies House,
Second Floor, The Linenhall, 32-38 Linenhall Street,
Belfast, Northern Ireland, BT2 8BG.
DX 481 N.R. Belfast 1.
For further information, please see the guidance notes
on the website at www.gov.uk/companieshouse
or email enquiries@companieshouse.gov.uk
This form is available in an
alternative format. Please visit the
forms page on the website at
www.gov.uk/companieshouse
Further information
i
Checklist
We may return forms completed incorrectly or
with information missing.
Please make sure you have remembered the
following:
The company name and number match the
information held on the public Register.
You have completed your principal business activity.
You have not used this form to make changes to the
registered office address.
You have not used this form to make changes to
secretary and director details.
You have provided the full date of birth for all
individual directors in Part 3.
You have fully completed the Statement of capital
(if applicable).
You have signed the form.
You have enclosed the correct fee.
Important information
Please note that all information on this form will
appear on the public record.
!
Presenter information
You do not have to give any contact information, but if
you do it will help Companies House if there is a query
on the form. The contact information you give will be
visible to searchers of the public record.
Contact name
Company name
Address
Post town
County/Region
Postcode
DX
Telephone
Country
This form has been provided free of charge by Companies House.
How to pay
A fee of £40 is payable to Companies House
in respect of a paper Annual Return
Make cheques or postal orders payable to
‘Companies House.’
£