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OR <br />24a. ORGANIZATIONS NAME <br />24b. INDIVIDUAL'S LAST NAME <br />FIRST NAME <br />MIDDLE NAME <br />SUFFIX <br />24c. MAILING ADDRESS <br />CITY <br />STATE <br />POSTAL CODE <br />COUNTRY <br />"R <br />25b. INDIVIDUALS LAST NAME <br />FIRST NAME <br />MIDDLE NAME <br />SUFFIX <br />25c. MAILING ADDRESS <br />CITY <br />STATE <br />POSTAL CODE <br />COUNTRY <br />2012/0707 <br />NAME OF FIRST DEBTOR (la or lb) ON RELATED FINANCING STATEMENT <br />19a. ORGANIZATION'S NAME <br />19b. INDIVIDUAL'S LAST NAME <br />STUTZMAN <br />MISCELLANEOUS: <br />FIRST NAME <br />BRADLEY <br />MIDDLE NAME,SUFFIX <br />DEAN <br />UCC FINANCING STATEMENT ADDITIONAL PARTY <br />FOLLOW INSTRUCTIONS (front and back) CAREFULLY <br />19. <br />OR <br />20. <br />21. ADDITIONAL DEBTORS EXACT FULL LEGAL NAME - insert only gag name (21a or 21b) - do not abbreviate or combine names <br />21a. ORGANIZATIONS NAME <br />21b. INDIVIDUAL'S LAST NAME <br />STUTZMAN <br />MAILING ADDRESS <br />169 W STOLLEY PARK ROAD <br />SEEINSTRUCTIONa ADD'L INFO RE 121e. TYPE OF ORGANIZATION <br />ORGANIZATION <br />DEBTOR <br />FIRST NAME <br />BRADLEY <br />CITY <br />WOOD RIVER <br />21f. JURISDICTION OF ORGANIZATION <br />MIDDLE NAME <br />D <br />STATE <br />NE <br />POSTAL CODE <br />68883 <br />21g. ORGANIZATIONAL ID #, if any <br />OR <br />21 c. <br />16 <br />21d. <br />22. ADDITIONAL DEBTOR'S EXACT FULL LEGAL NAME - insert only gpg name (22a or 22b) - do not abbreviate or combine names <br />22a. ORGANIZATION'S NAME <br />22b. INDIVIDUAL'S LAST NAME <br />STUTZMAN <br />MAILING ADDRESS <br />169 W STOLLEY PARK ROAD <br />SEEINSTRUCTIONS ADM INFO RE 1228. TYPE OF ORGANIZATION <br />ORGANIZATION <br />DEBTOR <br />FIRST NAME <br />CRYSTAL <br />CITY <br />WOOD RIVER <br />22f. JURISDICTION OF ORGANIZATION <br />MIDDLE NAME <br />L <br />STATE <br />NE <br />POSTAL CODE <br />68883 <br />22g. ORGANIZATIONAL ID #, if any <br />n <br />OR <br />22c. <br />16 <br />22d <br />23. ADDITIONAL DEBTOR'S EXACT FULL LEGAL. NAME - insert only one name (23a or 23b) - do not abbreviate or combine names <br />OR <br />23c. <br />23d. <br />24. ADDITIONAL SECURED PARTY'S NAME (or Name of TOTAL ASSIGNEE) - insert only gat name (24a or 24b) <br />25. ADDITIONAL SECURED PARTY'S NAME (or Name of TOTAL ASSIGNEE) - insert only sng name (25a or 25b) <br />25a. ORGANIZATIONS NAME <br />THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY <br />SUFFIX <br />COUNTRY <br />SUFFIX <br />COUNTRY <br />SUFFIX <br />COUNTRY <br />NONE <br />NONE <br />23a. ORGANIZATIONS NAME <br />23b. INDIVIDUALS LAST NAME <br />MAILING ADDRESS <br />SEE INSTRUCTIONS <br />ADD'L INFO RE 123e. TYPE OF ORGANIZATION <br />ORGANIZATION <br />DEBTOR <br />FIRST NAME <br />CITY <br />23f. JURISDICTION OF ORGANIZATION <br />MIDDLE NAME <br />STATE <br />POSTAL CODE <br />23g. ORGANIZATIONAL ID #, if any <br />NONE <br />International Association of Commercial Administrators <br />FILING OFFICE COPY - UCC FINANCING STATEMENT ADDITIONAL PARTY (FORM UCC1AP) (REV. 05/22/02) <br />