                              LIQO2
In accordance with
Rules 6.2, 6.3 & 6.5 of
the Insolvency (England
& Wales) Rules 2016 and
Sections 95 & 99 of the       Notice of statement of affairs     Companies House
Insolvency Act 1986.




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




                              Company details
Company number
                          It fofelsfolsisl7                    > Filling in this form
                                                                 Please complete in typescript or in
Company name in full |LumiraDx Investment Limited                bold black capitals.




                              Liquidator’s name
Full forename(s)              Andrew James

Surname                       Johnson

                              Liquidator’s address
Building name/number |c/o FTI Consulting LLP
Street                    |200 Aldersgate

                          | Aldersgate Street
Post town                 | London
County/Region             |

Postcode                  fefelifal [4lHlo
Country                   |

                              Liquidator’s name ©
Full forename(s)              Lisa Jane                        @ Other liquidator
                                                                 Use this section to tell us about
Surname                       Rickelton                          another liquidator.

                              Liquidator’s address @
Building name/number | c/o FTI Consulting LLP                  @ Other liquidator
                                                                 Use this section to tell us about
Street                    |200 Aldersgate                        another liquidator.

                          | Aldersgate Street
Post town                 | London
County/Region             |

Postcode                  fefolifal [alulo
Country                   |


                                                               04/17 Version   1.0
                         LIQO2
                         Notice of statement of affairs




                         Date of statement of affairs
Date
                         Pe fr            [ols             Pe Po Papa
                         Statement of affairs
~




                          | attach:
                         Ol     Statement of affairs by the liquidator under section 95(1A) of the
                                Insolvency Act 1986
                         {4    Statement of affairs by a director under section 99(1) of the Insolvency
                               Act 1986
                         1      Statement of concurrence



                         Sign and date
Liquidator's signature




Signature date
                         refo_fefw _[etafaa




                                                                                                          04/17 Version   1.0
LIQO2
Notice of statement of affairs




A           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 Companies 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
                  Mike Rawle                                      |    Where to send
  Company name
                  FTI Consulting LLP                               You may return this form to any Companies House
                                                                   address, however for expediency we advise you to
                                                                   return it to the address below:
| Address
              c/o FTI Consulting LLP                               The Registrar of Companies, Companies House,
| 200 Aldersgate                                                   Crown Way, Cardiff, Wales, CF14 3UZ.
                                                                   DX 33050 Cardiff.
| Aldersgate Street
  Post town
              London
  County/Region




eeCountry
                     felctital [alalo                             7 | Further information
              United Kingdom
                                                                  For further information please see the guidance notes
|
                                                                  on the website at www.gov.uk/companieshouse
  Telephone                                                       or email enquiries@companieshouse.gov.uk


            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:
 C1 The company name and number match the
     information held on the public Register.
 QO You have attached the required documents.
 OO You have signed the form.




 This form has been provided free of charge by Companies House.                         04/17 Version   1.0
                          Continuation page
                          Name and address of insolvency practitioner



                   J What this form is for                     XK what this form is NOT for          > Filling in this form
                      Use this continuation page to                You can't use this continuation     Please complete in typescript or in
                                                                                                       bold black capitals.
                      tell us about another insolvency             page to tell us about an
                          practitioner where more than             appointment, resignation,           All fields are mandatory unless
                      2 are already jointly appointed.             removal or vacation of office.      specified or indicated by *
                      Attach this to the relevant form.®
                      Use extra copies to tell us of
                      additional insolvency practitioners.

|                     Appointment type
                           Tick to show the nature of the appointment:                               @ You can use this continuation page
                           Cl   Administrator                                                          with the following forms:
                                       strato                                                          - VAM1, VAM2, VAM3, VAM4,
                           O    Administrative receiver                                                   VAM6, VAM7
                                                                                                       - CVAI, CVA3, CVA4
                           C1   Receiver                                                               - AMO2, AM03, AMO4, AMOS,
                           O    Manager                                                                  AMO06, AMO7, AMO8, AMO9,
                           CO   Nominee                                                                  AM10, AM12, AM13, AM14,
                                                                                                         AM19, AM20, AM21, AM22,
                           Supervisor                                                                    AM23, AM24, AM25
                               Liquidator                                                              - REC1, REC2, REC3
                                    7     a                                                            - L1Q02, L1Q03, LIQO5, LIQ13,
                           O Provisional liquidator                                                      L1014,
                                                                                                       - WUO7, WU15
                                                                                                       - COM1, COM2, COM3, COM4
                                                                                                       - NDISC

2 |                       Insolvency practitioner's name
Full forename(s)          Lindsay Kate
Surname                   Hallam

3 |                       Insolvency practitioner's address
Building name/number |c/o FTI Consulting LLP
Street                |200 Aldersgate
                      | Aldersgate Street
Post town             | London
County/Region         |
Postcode              Je [cfifal                   [4fufo
Country               |




                                                                                                     04/17 Version   1.0
Rule 6.3 Insolvency (England and Wales) Rules 2016




                  Statement of affairs

                Name of                                                                  number
                LumiraDx Investment Limited                                             40260187




                 Statement as to the affairs of LumiraDx Investment Limited (“the Company”)

                 on the 21 August 2024, being a date not more than 14 days before the date of the resolution
                 for winding up.

                 Statement   of Truth

                 | believe that the facts stated in this statement of affairs are a full, true and complete statement
                 of the affairs of the above-named company as at 21 August 2024, being a date not more than
                 14 days before the date of the resolution for winding up. | understand that proceedings for
                 contempt of court may be brought against anyone who makes, or causes to be made, a false
                 statement in a document verified by a statement of truth without an honest belief in its truth.




                 Full name        Veronique Ameye

                 Signed                                           ; Ahi     Sp



                 Date             21 August 2024
A - Summary of Assets


Assets
                                                                   Book Value ($)     Estimated to
                                                                                      Realise ($)


Assets subject to fixed charge:
No assets subject to fixed charge                                             0.00                    0.00




Less: amount due to fixed charge holder                            (120,116,109.80)       (120,116,109.80)



Shortfall/surplus to fixed charge holder to carry forward          (120,116,109.80)       (120,116,109.80)



Assets subject to floating charge:

Intercompany receivable                                             349,828 ,885.94           1,042,480.00




Uncharged assets:
No uncharged assets                                                          0.00                     0.00




Estimated total assets available for preferential creditors:       349,828,885.94             1,042,480.00




Signature    -7                       Date          Aug 21, 2024
A1 — Summary of Liabilities

                                                                                                                               Estimated to
                                                                                                                                       Realise
                                                                                                                                               $
 Estimated total assets available for preferential creditors (carried from page A)                                                  1,042,480

 Liabilities
 Ordinary Preferential creditors:-
      -    Employees                                                                                                                         Nil
      -    Redundancy Payments Service                                                                                                       Nil

 Estimated deficiency/surplus as regards ordinary preferential creditors                                                            1,042,480

 Secondary Preferential creditors:- HMRC                                                                                                     Nil

 Estimated deficiency/surplus as regards secondary preferential creditors                                                           1,042,480

 Estimated prescribed part of net property where applicable (to carry forward)                                                      (212,405)


 Estimated total assets available for floating charge holders                                                                         830,074

 Debts secured by floating charges (brought down)                                                                              (120,116,110)
 Estimated deficiency/surplus of assets after floating charges                                                                 (119,286,035)

 Estimated prescribed part of net property where applicable (brought down)                                                            212,405

 Total assets available to unsecured creditors                                                                                        212,405

 Unsecured non-preferential claims (excluding any shortfall to floating charge holder):
     -   Employees/RPS                                                                                                                     Nil
     -   HMRC                                                                                                                              Nil
     -   Other creditors                                                                                                                (595)
     -   Shortfall to floating charge holder                                                                                   (119,286,035)

 Estimated deficiency/surplus as regards creditors                                                                             (119,074,225)

  Issued and called up capital                                                                                                    (5,136,077)

 Estimated total deficiency/surplus as regards Members                                                                         (124,210,302)




Signature          a                                          Date            21 August 2024

Some $13,000 plus VAT is to be paid by the Company to FTI Consulting LLP in respect of the instructions given to prepare a Statement of
Affairs ($6,500) and to seek a decision from the creditors on the appointment of liquidators ($6,500). This amount is not reflected in the above.
All GBP values converted to USD at the Bank of England spot rate of 1.3031 $/£ on 21 August 2024.
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