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201309934 <br /> uc FINANCING STATEMENT <br /> FOLLOW INSTRUCTIONS <br /> A.NAME&PHONE OF CONTACT AT FILER(optional) <br /> Shawn Neumann#482-9944530 <br /> R.E-MAIL CONTACT AT FILER(optional) <br /> C.SEND ACKNOWLEDGMENT TO: (Name and Address) <br /> Mutual of Omaha Bank <br /> Mail Code: BA -04050 <br /> 1665 W Alameda Drive,Suite 101 <br /> [Tempe,AZ 85282 J <br /> THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY <br /> 1.DEBTOR'S NAME: Provide only one Debtor name(1a or 1b)(use exact,full name;do not orntt,modify,or abbreviate any part of the Debtor's name):if any part of the Individual Debtor's <br /> name will not fit in line tb,leave all of item 1 blank,check here ❑ and provide the Individual Debtor information in item 10 of the Financing Statement Addendum(Form UCC1Ad) <br /> 1a.ORGANIZATION'S NAME <br /> Ames Development,LLC. <br /> R lb.INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME{S}IINITIAL(S) SUFFIX -— <br /> lc. MAILING ADDRESS CITY STATE POSTAL CODE COUNTRY <br /> 13207 F.St Omaha NE 68137 USA <br /> 2.DEBTORS NAME: Provide only one Debtor name(2s or 2b)(use exact,full name;do not omit,modify,or abbreviate any part of the Debts name);if any part of the Individual Debttor's <br /> name will not fit in line 2b,leave al of item 2 blank,check here ❑ and provide the Individual Debtor inforrnabon in item 10 of the Financing Statement Addendum(Form UCC1Ad) <br /> 2a.ORGANIZATION'S NAME - <br /> OR 2b.INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)INITIAL(S) SUFFIX <br /> 2c. MAILING ADDRESS CITY STATE r POSTAL CODE COUNTRY <br /> 3.SECURED PARTY'S NAME(or NAME of ASSIGNEE of ASSIGNOR SECURED PARTY): Provide only gne Secured Party name(3a or 3b) <br /> 3a.ORGANIZATIONS NAME <br /> Mutual of Omaha Bank <br /> OR 3b.INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)INITIAL(S) SUFFIX <br /> 3c, MAILING ADDRESS CITY STATE POSTAL CODE COUNTRY <br /> 17041 Lakeside Hills Plaza Omaha NE 68130 USA <br /> 4.COLLATERAL: This financing statement covers the following collateral: <br /> All Fixtures located at 940 Allen Drive}Grand Island,NE 68803;whether any of the foregoing is owned now or acquired later;all accessions, <br /> additions,replacements,and substitutions relating to any of the foregoing;all records of any kind relating to any of the foregoing. <br /> 5.Check on if applicable and check gat one box Collateral is LI held it a Trust(see UCCtAd,itern 17 and instructions) j being administered by a dent's Personal Represents ive • <br /> Sa.Check gay if applicable and check imly one box: Sb,Check sat if applicable and check Day one box: <br /> ❑Public-Finance Transaction ❑Manufacl ed-H€me Transaction ❑A Debtor is a Transmitting Utility ❑ Agricultural Lien ❑Non-UCC Filing <br /> T.ALTERNATIVE DESIGNATION(if applicable); ❑LesseelLessar ❑ Consignee/Conslgnor ELI Seller/Buyer ❑ Bailee Licensee/Licensor <br /> ❑ LiLicensor <br /> 8.OPTIONAL FILER REFERENCE DATA: <br /> Loan No.'1610651001 - <br /> FILING OFFICE COPY—UCC FINANCING STATEMENT(Form UCC 1)(Rev.04120/11 Harland Financial Solutions <br /> S.W.6th Avenue,Portland,Oregon 97204 <br />