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201203550 <br />UCC FINANCING STATEMENTADDITIONAL PARTY <br />FOLLOW INSTRUCTIONS (front and back) CAREFULLY <br />19. NAME OF FIRST DEBTOR (1a or 1b) ON RELATED FINANCING STATEMENT <br />OR <br />Brabec Andrew <br />20.MISCELLANEOUS: <br />21. ADDITIONAL DEBTOR'S EXACT FULL LEGAL NAME-insert <br />THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY <br />name (21a or 21b) -do not abbreviate or combine names <br />~rt <br />21b. INDIVIDUAL'S LAST NAME <br />FIRST NAME <br />MIDDLE NAME <br />SUFFIX <br />Brabec <br />Aril <br />R <br />21c. MAILING ADDRESS <br />CITY <br />STATE <br />POSTAL CODE <br />COUNTRY <br />55710 826 Rd <br />Madison <br />NE <br />68748 <br />21d. 3EEIN3TRUCT10N3 <br />ADD'L INFO RE 21 e. TYPE OF ORGANIZATION <br />21f. JURISDICTION OFORGANIZATION <br />219. ORGANIZATIONAL to if any <br />(DEBTOR I Individual I NE ©NONE <br />22. ADDITIONAL DEBTOR'S EXACT FULL LEGAL NAME - insertonly gn name (22a or 22b) - do not abbreviate or combine names <br />22a. ORGANIZATIONS NAME <br />OR <br />22b INDMDUAUS LAST NAME <br />Brabec <br />FIRST NAME <br />Miranda <br />MIDDLE NAME <br />K <br />SUFFIX <br />22c. MAILING ADDRESS <br />11962 W Schultz Rd <br />CITY <br />Wood River <br />STATE <br />NE <br />POSTAL CODE <br />68883 <br />COUNTRY <br />22d. SEE INSTRUCTIONS <br />ADD'L INFO RE 22e. TYPE OF ORGANIZATION <br />22f. JURISDICTION OF ORGANIZATION <br />22g. ORGANIZATIONAL ID If any <br />(DEB OR L'A 11°" I Individual I Nebraska I [ NONE <br />23. ADDITIONAL DEBTOR'S EXACT FULL LEGAL NAME -insert only ore, name (23a or 23b) -do not abbreviate or combine names <br />23a. ORGANIZATIONS NAME <br />OR <br />23b. INDIVIDUAL'S LAST NAME <br />FIRST NAME <br />MIDDLE NAME <br />SUFFIX <br />23c. MAILING ADDRESS <br />CITY <br />STATE <br />POSTAL CODE <br />COUNTRY <br />23d. SEE INSTRUCTIONS <br />ADUL INFO RE 23e. TYPE OF ORGANIZATION <br />23f. JURISDICTION OF ORGANIZATION <br />23g. ORGANIZATIONAL ID if any <br />ORGANIZAl10N <br />DEBTOR I I I ❑NONE <br />24. ADDITIONAL SECURED PARTY'S NAME (or Name of TOTAL ASSIGNEE) - insert only o e name (24a or 24b) <br />OR <br />24a. ORGANIZATIONS NAME <br />24b. INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE NAME SUFFIX <br />24e. MAILING ADDRESS <br />CITY <br />STATE <br />POSTAL CODE <br />COUNTRY <br />25. ADDITIONAL SECURED PARTY'S NAME (or Name of TOTAL ASSIGNEE) - Insert only one name <br />UM <br />25b. INDMDUAUS LAST NAME <br />FIRST NAME <br />MIDDLE NAME <br />SUFFIX <br />25c. MAILING ADDRESS <br />CITY ] <br />STATE <br />POSTAL CODE <br />COUNTRY <br />International Association of commercial Administrators (IA(:A) <br />FILING OFFICE COPY - UCC FINANCING STATEMENT ADDITIONAL PARTY (FORM UCCIAP) (REV. 05122102) <br />