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12/27/2013 3:52:49 PM
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12/27/2013 3:52:49 PM
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201310010
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OR <br />1b. INDIVIDUAL'S SURNAME <br />FIRST PERSONAL NAME <br />ADDITIONAL NAME(S) /INITIAL(S) <br />SUFFIX <br />1c. MAILING ADDRESS <br />1119 South Adams St. <br />CITY <br />Grand Island <br />STATE <br />NE <br />POSTAL CODE <br />68801 <br />COUNTRY <br />USA <br />OR <br />2b. INDIVIDUAL'S SURNAME <br />FIRST PERSONAL NAME <br />ADDITIONAL NAME(S) /INITIAL(S) <br />SUFFIX <br />2c. MAILING ADDRESS <br />CITY <br />STATE <br />POSTAL CODE <br />COUNTRY <br />g OR 3b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S) / INITIAL(S) SUFFIX <br />3c. MAILING ADDRESS CITY STATE POSTAL CODE COUNTRY <br />236 Third Street Baton Rouge LA 70801 USA <br />sir <br />1 <br />L <br />'INANCING STATEMENT <br />INSTRUCTIONS <br />& PHONE OF CONTACT AT FILER (optional) <br />ly Schiller, 614 - 365 -2760 <br />L CONTACT AT FILER (optional) <br />ACKNOWLEDGMENT TO: (Name and Address) <br />_ : nny C. Schiller <br />Squire Sanders (US) LLP <br />2000 Huntington Center, 41 S. High Street <br />Columbus, Ohio 43215 <br />la. ORGANIZATION'S NAME <br />Chief Fabrication, LLC <br />2a. ORGANIZATION'S NAME <br />4. COLLATERAL: This financing statement covers the following collateral: <br />— See Schedule A attached hereto and made a part hereof. <br />5. Check only if applicable and check gay one box: Collateral is ❑ held In a Trust <br />6a. Check gnly if applicable and check ody one box: <br />❑ Public- Finance Transaction ❑ Manufactured -Home Transaction <br />7. ALTERNATIVE DESIGNATION (if applicable): ❑ Lessee /Lessor <br />8. OPTIONAL FILER REFERENCE DATA: <br />Doc. ID #894439.2: File with Hall County, Nebraska <br />1 <br />(see UCC1Ad, item 17 and Instructions) <br />❑ A Debtor is a Transmitting Utility <br />Consignee /Consignor ❑ Seller /Buye <br />FILING OFFICE COPY — UCC FINANCING STATEMENT (Form UCC1) (Rev. 04/20/11) <br />ca <br />THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY <br />1. DEBTOR'S NAME: Provide only mg Debtor name (18 or 1b) (use exact, full name; do not omit, 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 1b, 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 />2. DEBTOR'S NAME: Provide only gag Debtor name (2a or 2b) (use exact, full name; do not omit, 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 2b, leave all of item 2 blank, check here ❑ and provide the Individual Debtor information in item 10 of the Financing Statement Addendum (Form UCC1Ad) <br />3. SECURED PARTY'S NAME (or NAME of ASSIGNEE of ASSIGNOR SECURED PARTY): Provide only ong Secured Party name (3a or 3b) <br />3a. ORGANIZATION'S NAME <br />Stonehen Community Develo LXXXVI, LLC <br />being administered by a Decedent's Personal Representative <br />6b. Check o0)y if applicable and check galy one box: <br />❑ Agricultural Lien <br />r ❑ Bailee /Bailor <br />❑ Non -UCC Filing <br />❑ Licensee /Licensor <br />International Association of Commercial Administrators (IACA) <br />sir <br />1 <br />L <br />'INANCING STATEMENT <br />INSTRUCTIONS <br />& PHONE OF CONTACT AT FILER (optional) <br />ly Schiller, 614 - 365 -2760 <br />L CONTACT AT FILER (optional) <br />ACKNOWLEDGMENT TO: (Name and Address) <br />_ : nny C. Schiller <br />Squire Sanders (US) LLP <br />2000 Huntington Center, 41 S. High Street <br />Columbus, Ohio 43215 <br />la. ORGANIZATION'S NAME <br />Chief Fabrication, LLC <br />2a. ORGANIZATION'S NAME <br />4. COLLATERAL: This financing statement covers the following collateral: <br />— See Schedule A attached hereto and made a part hereof. <br />5. Check only if applicable and check gay one box: Collateral is ❑ held In a Trust <br />6a. Check gnly if applicable and check ody one box: <br />❑ Public- Finance Transaction ❑ Manufactured -Home Transaction <br />7. ALTERNATIVE DESIGNATION (if applicable): ❑ Lessee /Lessor <br />8. OPTIONAL FILER REFERENCE DATA: <br />Doc. ID #894439.2: File with Hall County, Nebraska <br />1 <br />(see UCC1Ad, item 17 and Instructions) <br />❑ A Debtor is a Transmitting Utility <br />Consignee /Consignor ❑ Seller /Buye <br />FILING OFFICE COPY — UCC FINANCING STATEMENT (Form UCC1) (Rev. 04/20/11) <br />ca <br />THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY <br />1. DEBTOR'S NAME: Provide only mg Debtor name (18 or 1b) (use exact, full name; do not omit, 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 1b, 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 />2. DEBTOR'S NAME: Provide only gag Debtor name (2a or 2b) (use exact, full name; do not omit, 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 2b, leave all of item 2 blank, check here ❑ and provide the Individual Debtor information in item 10 of the Financing Statement Addendum (Form UCC1Ad) <br />3. SECURED PARTY'S NAME (or NAME of ASSIGNEE of ASSIGNOR SECURED PARTY): Provide only ong Secured Party name (3a or 3b) <br />3a. ORGANIZATION'S NAME <br />Stonehen Community Develo LXXXVI, LLC <br />being administered by a Decedent's Personal Representative <br />6b. Check o0)y if applicable and check galy one box: <br />❑ Agricultural Lien <br />r ❑ Bailee /Bailor <br />❑ Non -UCC Filing <br />❑ Licensee /Licensor <br />International Association of Commercial Administrators (IACA) <br />
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