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- � <br />e <br />N� n � <br />0 �� S <br />N� NANCING STATEMENT AMENDMENT� 4: � <br />„�p � JSTRUCTIONS (front and back CAREFULLY <br />0 10NE OF CONTACT AT FILER [opdonaq <br />a � Phone(800)331-3282 Fax(818)662-4141 <br />�� <br />— NOWLEDGEMENT TO: (Name and Mailing Address) 10011 10011 OF <br />� �� � � <br />�� � �ien Solutions 33279561 <br />� .O. Box 29071 <br />Glendale, CA 91209-9071 NENE <br />� <br />� <br />2 <br />D <br />r <br />r Y <br />n - <br />� t� � <br />� � <br />r., <br />�.� � v� <br />� <br />rrn <br />z <br />,-� � <br />�� <br />c� <br />r� , <br />�� <br />0 <br />� <br />r. <br />f. � <br />�V <br />:� i <br />� <br />-�c <br />N <br />c�--• <br />'Z7 <br />F--+ <br />F <br />rv <br />_r_ <br />w <br />n' � <br />m <br />cn <br />Z --i <br />--� rn <br />� O <br />o � <br />-,, � <br />= m <br />A m <br />r � <br />r m <br />Cn <br />� <br />L <br />..� � <br />� <br />� <br />�U12(►4030 <br />THE ABOVE SPACE IS FOR FlLING OFFICE USE ONLY <br />N <br />O <br />d -+ <br />PV <br />� <br />� <br />O <br />ta <br />0 <br />1a INITIAL FINANCING STATEMENT FILE # <br />0200709153 10/25/07 CC NE Hall County Register of Deeds <br />2 <br />3. <br />This FINANCING STATEMENT AMENDMENT Is <br />to be flled [for recordJ (or recorded) In the <br />REAL ESTATE RECORDS. <br />TERMINATION: Effecti�en�s of the Flnandng Statement identlfted abave is terminated with respect to security interest(s) oF the �red PaA <br />� this Terminatlon Sfe tement <br />CONTINUATION: Effecdveness of the Flnandng Statement Idendfled above with respect to fhe security interest(s) of the Secured Party authorhing this Contlnua8on Statement is <br />condnued for fhe addidonal period proNded by appiicabte law. <br />4. U ASSIGNMENT (full or partial): Give name of assignee in item 7a or 7b artd address of assigrree in 7c; and also give name of assignor in item 9. <br />5. AMENDMENT (PARTY INFORMATION): This Amendment affects Q�tor ot � Sewred Party of record. Check only g,� of these two boxes. <br />Also check one of the foliowing three boxes and provide appropriate irdormation in items 6 and/or 7. <br />❑ CHANGE name and/or address: Give current recrord name In (tem 6a or 6b; also give new DELETE name: Give record name ADD name: Complete kem 7a or 7b. and also <br />name (H name change) in item 7a or 7b and/or new address (H address change) in ftem 7c. ❑ to be deleted in Rem 6a or 6b. ❑ kem 7c; also complete items 7d-7g (H applicable) <br />6. CURRENT RECORD IPLEpR_MAT_ION1 <br />�a. ORGANIZATION'S NAME <br />GRAND ISLAND HEALTH CARE INC <br />OR <br />7. CHANGED (NEYIn OR ADDED IPIFORMATION: <br />7a. ORGAN(ZATIOMS NAME <br />OR <br />7b. INDNIDUAL'S LAST NAME <br />7c. MAILING ADDRESS <br />FIRST NAME <br />:N►�1 <br />MIDDLE NAME <br />MIDDLE NAME <br />STATE POSTAL CADE <br />7d. SEE INSTRUCTION I RB OR� N I 7e. TYPE OF ORGANI7I�TION I7f. JURISDICTION OF ORGANIZATION 7 <br />8. AMENDMENT (COLLATERAL CHANGE): check only one bou. <br />— Describe cotlateral❑ deleted or � added, or gNe entlre� restated collateral d�criptlon, or describe collateral� asslgn�. <br />SUFFIX <br />SUFFIX <br />COUNTRY <br />any <br />� NONE <br />9. NAME OF SECURED PAR1Y OF RECORD AUTHORIZING THIS AMENDMENT (name of assfgnor, 'rf this is an Assignment). If this is an Amendment authorized by a Debtor which <br />adds collateral or adds the authorizing Debtor, or if this is a Terminadon authorized by a Debtor, check here Q and enter name of DEBTOR authoriang this Amendment. <br />9a. ORGANIZATIOMS NAME <br />Bank of America, N.A. <br />OR <br />9b. INDIVIDUAL'S LAST NAME <br />FIRST NAME <br />� n <br />� � <br />� <br />� <br />MIDDLE NAME I SUFFUC <br />Il <br />:.� <br />� <br />e <br />;. <br />,� <br />/ <br />� <br />� <br />� <br />� <br />� <br />_ <br />� <br />= <br />� <br />� <br />_ <br />� <br />_ <br />_ <br />� <br />� <br />10. OPTIONAL FILER REFERENCE DATA <br />33279561 Debtor Name: GRAND ISLAND HEALTH CARE INC <br />FIUNG OFFICE COPY - NATIONAL UCC FINANCING STATEMENT AMENDMENT FORM UCC3 REV. 05/22/02 P�oa�ed bv CT Lien Solutlons. P.O. Box 29077 <br />� �� � Glendale, CA 91209-9077 Tel (600) 331-3282 <br />