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201304560 <br /> UCC FINANCING STATEMENT <br /> FOLLOW INSTRUCTIONS(front and back)CAREFULLY <br /> A. NAME&PHONE OF CONTACT AT FILER[optional] <br /> B. SEND ACKNOWLEDGMENT TO: (Name and Address) <br /> r-- PINNACLE BANK 7 <br /> 180TH & WEST DODGE ROAD OFFICE <br /> 18081 BURT STREET <br /> OMAHA,NE 68022 <br /> L I <br /> THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY <br /> 1. DEBTOR'S EXACT FULL LEGAL NAME-insert only one debtor name(1a or 1 b)-do not abbreviate or combine names <br /> 1a ORGANIZATION'S NAME <br /> GRAND ISLAND COUNTRYHOUSE, LLC <br /> OR <br /> lb INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE NAME SUFFIX <br /> 1c MAILING ADDRESS CITY STATE POSTAL CODE COUNTRY <br /> 2614 TELEGRAPH AVE BERKELEY CA 94704 USA <br /> ld SEE INSTRUCTIONS I ADM.INFO RE lie.TYPE OF ORGANIZATION if JURISDICTION OF ORGANIZATION 1 g ORGANIZATIONAL ID#,if any <br /> ORGANIZATION <br /> DEBTOR I LLC I WY I <br /> IN NONE <br /> 2.ADDITIONAL DEBTORS EXACT FULL LEGAL NAME-insert only one debtor name(2a or 2b)•do not abbreviate or combine names <br /> 2a ORGANIZATION'S NAME <br /> I <br /> OR 2b, INDIVIDUALS LAST NAME FIRST NAME MIDDLE NAME SUFFIX <br /> 2c MAILING ADDRESS CITY STATE POSTAL CODE COUNTRY <br /> 2d SEE INSTRUCTIONS ADD'L INFO RE 12e.TYPE OF ORGANIZATION 2f JURISDICTION OF ORGANIZATION 2g, ORGANIZATIONAL ID#,if any <br /> ORGANIZATION �^'� <br /> DEBTOR I I I I (NONE <br /> 3.SECURED PARTY'S NAME (or NAME of TOTAL ASSIGNEE of ASSIGNOR S/P)-insert only one secured party name(3a or 36) <br /> 3a ORGANIZATION'S NAME <br /> PINNACLE BANK <br /> OR I3b. INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE NAME SUFFIX <br /> 3c MAILING ADDRESS CITY STATE POSTAL CODE COUNTRY <br /> 18081 BURT STREET OMAHA NE 68022 USA <br /> 4.This FINANCING STATEMENT covers the following collateral <br /> FIXTURES ATTACHED TO PROPERTY AT 833 ALPHA STREET, GRAND ISLAND, NEBRASKA 68803. <br /> 5. ALTERNATIVE DESIGNATION`rf applicable]: I I LESSEE/LESSOR I J CONSIGNEE/CONSIGNOR l I BAILEE/BAILOR I I SELLER/BUYER I I AG LIEN I I NON-UCC FILING <br /> 6.]u[This FINANCING STATEMENT into be filed[for record](or recorded)in the REAL 17.Check to REQUEST SEARCH REPORf f(S)on Debtor(s) All Debtors Debtor I IJ Debtor 2 <br /> I�r�rr ESTATE RECORDS. Attach Addendum fif andhrablel (ADDITIONAL FEEL fontionall I I I I , <br /> 8.OPTIONAL FILER REFERENCE DATA <br /> Harland Financial Solutions <br /> FILING OFFICE COPY —UCC FINANCING STATEMENT(FORM UCC1)(REV.05/22/02) 400 S.W. fith Avenue,Portland,Oregon 97204 <br />