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201204313
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Last modified
5/31/2012 4:06:54 PM
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5/31/2012 4:06:54 PM
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201204313
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....�� <br />� <br />��� <br />N � <br />B = <br />0 � FINANCING STATEMENT <br />W�� V INSTRUCTIONS (iront and back) CAREFULLY <br />�� E& PHONE OF CONTACT AT FILER [optionafJ <br />W � issa Luizzi 800-828-0938 <br />�� � ACIWOWLEDGMENT TO: (Name and Address) <br />EN1! <br />� �ational Corporate Research, Ltd. <br />��' 194 Washington Avenue <br />. I Suite 310 <br />Albany, NY 12210 <br />�elissa@nationalcorp.com <br />� a y , r r •..:> <br />� � ��' ;� c� cn <br />11! � ' , = v o —1 <br />C � D G A <br />�� � � $ r '� Z -1 <br />r t ��- -� rn <br />� � O ri.`P� -< 0 <br />� W O '*� <br />� � `. � <br />,� �, ,� _ s-. �, z <br />� � � c, t"'_ z rn <br />v� �� � Ts m <br />� r � i � r D <br />�J N <br />� �� �L1 � <br />� �'�� .. n <br />� r , �` r) � � <br />cn cn <br />� � � <br />� TH E ABOVE SPACE IS FOR FILING OFFICE USE ONLY <br />1. D EBTO R �S EXACT FULL LEGAL NAME- insertonlyone debtorname (1 a or1 b)-do notabbreviate orcombine names <br />1 a. ORGANIZATION'S NAME <br />— MOSAIC HOUSING CORP. I <br />OR �b.INDIVIDUAL'SLASTNAME TFIRSTNAME <br />lC. MAILINCiAUUKt'S CITY STf <br />4980 S. 118TH ST., SUITE A OMAHA N <br />1d.SEEINSTRUCTIONS ADD'LINFORE 1e.TYPEOFORGANIZATION 1f.JURISDICTIONOFORGANIZATION 1g. <br />DEBTOR �� Colporatlon NE <br />2. ADDITIONA� DEBTOR EXACT FULL LEGAL NAME - insert only r�.e debtar name (2a or 2b) - do not abbreviate or combine names <br />OR 2b. �NDIVIDUAL'S LAST NAME <br />ORGANIZATION <br />DEBTOR <br />3. SECURED PARTY'S NAME torNAMEot <br />name <br />LSecretary of Housing and Urban Development of Washington D.C. <br />OR 3b. INDIVIDUAL'S LAST NAME FIRST NAME <br />137-0000 <br />TIONAL ID #, 'rf any <br />#, 'rf eny <br />N <br />O <br />F-� � <br />iV � <br />� .�°� <br />� S <br />W � <br />�--� � <br />w � <br />� <br />� ��� <br />USA <br />3c. MAILINGADDRESS CIIY STATE POSTALCODE COUNTR <br />— 451 Seventh Street, S.W. Washington DC 20410 USA <br />4. This FINANCING STATEMENT covere the following collatarel: <br />For a description of the collateral covered by this Financing Statement, see Schedule A attached hereto and <br />incorporated herein by reference. <br />BAILEE/BAILOR <br />AG. LIEN NON-UCCFILING <br />Debtors Debtor 1 Debtor 2 <br />8, OPTIONAL FILER REFERENCE DATA F# 3 2 817 2 <br />Filed With: NE - Hall CounTy Clerk; P# 103-HH004 A # 4 7 8 315 <br />FILINO OFFICE COPY — UCC FINANCING STATEMENT (FORM UCC1) (REV. 05/22/02) <br />
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