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co <br />CO <br />UCC FINANCING STATEMENT <br />FOLLOW INSTRUCTIONS (front and back) CAREFULLY <br />A. NAME & PHONE OF CONTACT AT FILER [optional] <br />ABBY CARMAN 308.382.2900 <br />B. SEND ACKNOWLEDGMENT TO: (Name and Address) <br />Exchange Bank �� <br />1204 Allen Dr ri <br />f AV PO Box 5793 <br />Grand Island, NE 68802 <br />L <br />J <br />THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY <br />1. DEBTORS EXACT FULL LEGAL NAME - insert only one debtor name (la or lb) - do not abbreviate or combine names <br />1a. ORGANIZATIONS NAME <br />MIK, LLC <br />1 b. INDIVIDUALS LAST NAME <br />MAILING ADDRESS <br />21 S LOCUST ST <br />FIRST NAME <br />CITY <br />GRAND ISLAND <br />MIDDLE NAME <br />STATE <br />NE <br />POSTAL CODE <br />68801 <br />OR <br />lc. <br />1d. SEE INSTRUCTIONS <br />ADD'L INFO RE 11e. TYPE OF ORGANIZATION 1f. JURISDICTION OF ORGANIZATION <br />ORGANIZATION LLC <br />DEBTOR <br />2. ADDITIONAL DEBTOR S EXACT FULL LEGAL NAME - insert only one debtor name (2a or 2b) - do not abbreviate or combine names <br />2a. ORGANIZATIONS NAME <br />2b. INDIVIDUALS LAST NAME <br />MAILING ADDRESS <br />FIRST NAME <br />CITY <br />MIDDLE NAME <br />STATE <br />POSTAL CODE <br />OR <br />2c. <br />30 <br />2d. SEE INSTRUCTIONS <br />OR <br />3c. <br />12 <br />ADDL INFO RE 12e. TYPE OF ORGANIZATION <br />ORGANIZATION <br />DEBTOR <br />2f. JURISDICTION OF ORGANIZATION <br />3. SECURED PARTY'S NAME (or NAME of TOTAL ASSIGNEE of ASSIGNOR S/P) - insert only one secured party name (3a or 3b) <br />3a. ORGANIZATIONS NAME <br />1g. ORGANIZATIONAL ID #, if any <br />2g. ORGANIZATIONAL ID #, if any <br />SUFFIX <br />COUNTRY <br />USA <br />SUFFIX <br />COUNTRY <br />SUFFIX <br />COUNTRY <br />USA <br />NONE <br />NONE <br />Exchange Bank <br />3b. INDIVIDUAL'S LAST NAME <br />FIRST NAME <br />MAILING ADDRESS <br />04 Allen Dr, PO Box 5793 <br />CITY <br />Grand Island <br />MIDDLE NAME <br />STATE <br />NE <br />POSTAL CODE <br />68802 <br />4. This FINANCING STATEMENT covers the following collateral: <br />All inventory, equipment, accounts (including but not limited to all health- care - insurance receivables), chattel paper, instruments (including but <br />not limited to all promissory notes), letter -of- credit rights, letters of credit, documents, deposit accounts, investment property, money, other <br />rights to payment and performance, and general intangibles (including but not limited to all software and all payment intangibles); all oil, gas <br />and other minerals before extraction; all oil, gas, other minerals and accounts constituting as- extracted collateral; all fixtures; all timber to be <br />cut, all attachments, accessions, accessories, fittings, increases, tools, parts, repairs, supplies, and commingled goods to the foregoing <br />property, and all additions, replacements of and substitutions for all or any part of the forgoing property; all insurance refunds relating to the <br />foregoing property, all good will relating to the foregoing prpoerty; all records and data and embedded software relating the foregoing <br />property, and all equipment, inventory and software to utilize, create, maintain and process any such records and data on electronic media; <br />and all supporting obligations relating to the foregoing property; all whehter now exisitng any such records and data on electronic media; and <br />all supporting obligation relating to the foregoing property; all whether now existing or hereafter arising, whether now owned or hereafter <br />acquired or whether now or hereafter subject to any rights in the foregoing property; and all products and proceeds (including but not limited <br />to all insurance payments) of or relating to the foregoing property. <br />5. ALTERNATIVE DESIGNATION [if applicable]: I [LESSEE/LESSOR I I CONSIGNEE/CONSIGNOR 11 BAILEE/BAILOR SELLER /BUYER AG. LIEN NON -UCC FILING <br />6. h[] This FINANCING STATEMENT is to be filed [for record] (or recorded) in the REAL 1 Check to REQUEST SEARCH REPORT(S) on Debtor(s) <br />�` II( <br />ESTATE RECORDS. Attach Addendum (if anolicablel [ADDITIONAL FEE] footionall All Debtors Debtor 1 Debtor 2 <br />8. OPTIONAL FILER REFERENCE DATA <br />Harland <br />FILING OFFICE COPY — UCC FINANCING STATEMENT (FORM UCC1) (REV. 05/22/02) 40 0 S.W. S. Financial <br />6th Avenue, h Solutions <br />40 venuue, PPortla ortland, Oregon 97204 <br />