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201304560 <br /> UCC FINANCING STATEMENTADDENDUM <br /> FOLLOW INSTRUCTIONS(front and back)CAREFULLY <br /> 9. NAME OF FIRST DEBTOR(la or 1b)ON RELATED FINANCING STATEMENT <br /> 9a ORGANIZATIONS NAME <br /> GRAND ISLAND COUNTRYHOUSE, LLC <br /> OR Pb I INDIVIDUAL'S LAST NAME (FIRST NAME MIDDLE NAME,SUFFIX <br /> 10.MISCELLANEOUS: <br /> THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY <br /> 11.ADDITIONAL DEBTOR'S EXACT FULL LEGAL NAME-insert only one name(11a or 11b)-do not abbreviate or combine names <br /> 11a,ORGANIZATION'S NAME • <br /> OR 11b INDIVIDUALS LAST NAME FIRST NAME MIDDLE NAME SUFFIX <br /> 11c MAILING ADDRESS CITY STATE POSTAL CODE COUNTRY <br /> 11d SEE INSTRUCTIONS ADO'L INFO RE 111e,TYPE OF ORGANIZATION 11f.JURISDICTION OF ORGANIZATION 111g.ORGANIZATIONAL ID#,if any <br /> r'� <br /> ORGANIZATION <br /> DEBTOR 1 INONF <br /> 12. I I ADDITIONAL SECURED PARTY'S or I I ASSIGNOR SIPS NAME-insert only one name(12a or 12b) <br /> 12a ORGANIZATIONS NAME <br /> OR I12b. INDIVIDUALS LAST NAME FIRST NAME MIDDLE NAME SUFFIX <br /> 12c MAILING ADDRESS CITY STATE POSTAL CODE COUNTRY <br /> 13.This FINANCING STATEMENT covers 0 timber to be cut or I u I as-extracted 16.Additional collateral description- <br /> collateral,or is filed as a ®fixture filing <br /> 14.Description of real estate' <br /> LOT 2, MEDICAL PARK SEVENTH SUBDIVISION, IN THE <br /> CITY OF GRAND ISLAND, HALL COUNTY, NEBRASKA. <br /> 15. Name and address of a RECORD OWNER of above-described real estate(if <br /> Debtor does not have a record interest), <br /> 17.Check only if applicable and check only one box. <br /> Debtor is a rI Trust or[1 Trustee acting with respect to property held in trust or I-i Decedents Estate <br /> 18.Check only if applicable and check only one box. <br /> Debtor is a TRANSMITTING UTILITY <br /> Filed in connection with a Manufactured-Home Transaction <br /> Filed in connection with a Public-Finance Transaction <br /> (FORM UCC1Ad)(REV.05/21/09) Harland Financial Solutions <br /> FILING OFFICE COPY—UCC FINANCING STATEMENTADDENDUM <br /> ( ) 400 S.W. 6th Avenue,Portland,Oregon 97204 <br />