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OR <br />1a. ORGANIZATION'S NAME BOSSELMAN HOLDING, INC. <br />1b. INDIVIDUAL'S LAST NAME <br />FIRST NAME <br />MIDDLE NAME <br />SUFFIX <br />1c. MAILING ADDRESS 3123 WEST STOLLEY PARK ROAD <br />CITY <br />GRAND ISLAND <br />STATE <br />NE <br />POSTAL CODE <br />68801 <br />COUNTRY <br />USA <br />1d. SEE INST <br />ADM. INFO RE Ile. TYPE OF ORGANIZATION <br />DEBTOR ORGANIZATION i Corp. <br />1f. JURISDICTION OF ORGANIZATION <br />NE <br />1g. ORGANIZATIONAL ID #, if any <br />10149604 <br />nNONE <br />2g. ORGANIZATIONAL ID #, if any <br />n NONE <br />OR <br />2a. ORGANIZATION'S NAME <br />2b. INDIVIDUAL'S LAST NAME <br />FIRST NAME <br />MIDDLE NAME <br />SUFFIX <br />2c. MAILING ADDRESS <br />CITY <br />STATE <br />POSTAL CODE <br />COUNTRY <br />2d. <br />SEE INSTRUCTIONS <br />ADD'L INFO RE 12e. TYPE OF ORGANIZATION <br />ORGANIZATION <br />DEBTOR I <br />2f. JURISDICTION OF ORGANIZATION <br />2g. ORGANIZATIONAL ID #, if any <br />n NONE <br />OR <br />3a. ORGANIZATION'S NAME CORPORATION SERVICE COMPANY, AS REPRESENTATIVE <br />3b. INDIVIDUAL'S LAST NAME <br />FIRST NAME <br />MIDDLE NAME <br />SUFFIX <br />3c. MAILING ADDRESS P.O. BOX 2576 UCCSPREP@ <br />CSCINFO.COM <br />CITY <br />SPRINGFIELD <br />STATE <br />IL <br />POSTAL CODE <br />62708 <br />COUNTRY <br />USA <br />�� rn <br />N G <br />B <br />Ca <br />FINANCING STATEMENT :C <br />N INSTRUCTIONS (front and back) CAREFULLY <br />IE & PHONE OF CONTACT AT FILER [optional) <br />poration Service Company 1- 800 - 858 -5294 <br />O <br />D ACKNOWLEDGMENT TO: (Name and Address) <br />76201221- 362500 <br />Corporation Service Company <br />801 Adlai Stevenson Drive <br />Springfield, IL 62703 -4261 <br />L <br />Filed In: Nebraska Hall <br />1. DEBTOR'S EXACT FULL LEGAL NAME - insert onlyone debtor name (1 a or lb) -do not abbreviate orcombine names <br />2. ADDITIONAL DEBTOR'S EXACT FULL LEGAL NAME - " insert only one debtor name (2a or 2b) - do not abbreviate or combine names <br />3. SECURED PARTY'S NAME (or NAME of TOTAL ASSIGNEE of ASSIGNOR S/P) - insertonlymesecured party name (3a or3b) <br />8. OPTIONAL FILER REFERENCE DATA <br />:2013164 <br />FILING OFFICE COPY — UCC FINANCING STATEMENT (FORM UCC1) (REV. 05/22/02) <br />THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY 1 ©'b <br />4. This FINANCING STATEMENT covers the following collateral: <br />MASTER LEASE AGREEMENT NO. 2013164 <br />THIS IS AN ASSET SPECIFIC FILING, NOT AN ALL ASSET FILING. <br />ALL ITEMS OF EQUIPMENT, MACHINERY, FURNITURE, FIXTURES, INVENTORY, SOFTWARE AND /OR OTHER PERSONAL PROPERTY NOW <br />OR HEREAFTER SUBJECT TO A LEASE BETWEEN LESSOR AND LESSEE, INCLUDING ALL PARTS, ACCESSORIES, ACCESSIONS AND <br />ATTACHMENTS THERETO, AND ALL REPLACEMENTS, SUBSTITUTIONS AND EXCHANGES (INCLUDING TRADE -INS) FOR SUCH GOODS, <br />TOGETHER WITH PROCEEDS OF ALL OF THE FOREGOING, INCLUDING PROCEEDS IN THE FORM OF GOODS, ACCOUNTS, CHATTEL <br />PAPER, DOCUMENTS, INSTRUMENTS, GENERAL INTANGIBLES, INVESTMENT PROPERTY, DEPOSIT ACCOUNTS, LETTER OF CREDIT <br />RIGHTS AND SUPPORTING OBLIGATIONS (THE "COLLATERAL "). <br />is .1 C GS M is to .e 1 -• for recor• or record in the <br />1 : • : ' • ..- if - • i a • e <br />All Debtors <br />Debtor 1 <br />5. ALTERNATIVE DESIGNATION [if applicable <br />LESSEE /LESSOR <br />CONSIGNEE/CONSIGNOR ■ BAILEE/BAILOR ■ SELLER/BUYER ■ AG. LIEN <br />NON -UCC FILING <br />Debtor 2 <br />76201221 <br />ITT <br />co <br />m <br />O t <br />C.J <br />Co <br />- <br />I—� <br />co rn <br />0 <br />0 <br />