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OR <br />la. ORGANIZATION'S NAME & J Tires and Associates, LLC <br />lb. INDIVIDUAL'S SURNAME <br />FIRST PERSONAL NAME <br />ADDITIONAL NAME(S) /INITIAL(S) <br />SUFFIX <br />lc. MAILING ADDRESS PO Box 2617 <br />CITY <br />Kearney <br />STATE <br />NE <br />POSTAL CODE <br />68848 <br />COUNTRY <br />USA <br />OR <br />2a. ORGANIZATIONS NAME <br />2b. INDIVIDUAL'S SURNAME <br />FIRST PERSONAL NAME <br />ADDITIONAL NAMES) /INITIAL(S) <br />SUFFIX <br />2c. MAILING ADDRESS <br />CITY <br />STATE <br />POSTAL CODE <br />COUNTRY <br />OR <br />3a. ORGANIZATIONS NAME BIG 0 TIRES, LLC <br />3b. INDIVIDUAL'S SURNAME <br />FIRST PERSONAL <br />ADDITIONAL NAME(S)ANITIAL(S) <br />SUFFIX <br />3c. MAILING ADDRESS 4280 Professional Center Drive, Suite <br />400 <br />CITY <br />Palm Beach Gardens <br />STATE <br />FL <br />POSTAL CODE <br />33410 <br />COUNTRY <br />USA <br />FINANCING STATEMENT <br />N INSTRUCTIONS <br />FILING OFFICE COPY — UCC FINANCING STATEMENT (Form UCC1) (Rev. 04/20/11) <br />3. SECURED PARTY'S NAME (or NAME of ASSIGNEE of ASSIGNOR SECURED PARTY): Provide only one Secured Party name (3a or 3b) <br />■IE & PHONE OF CONTACT AT FILER (optional) <br />rporation Service Company 1- 800 - 858 -5294 <br />AIL CONTACT AT FILER (optional) <br />'RFiling @cscinfo.com <br />ID ACKNOWLEDGMENT TO: (Name and Address) <br />158764235 - 329650 1� <br />� <br />Corporation Service Company (If 801 Adlai Stevenson Drive <br />Springfield, IL 62703 <br />L <br />Filed In: Nebraska <br />(Hall) <br />THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY <br />1. DEBTOR'S NAME: Provide only one Debtor name (la or lb) (use exact, full name; do not omit, modify, or abbreviate any part of the Debtor's name); if any part of the Individual Debtors <br />name wit not fit in line 1b, leave all of item 1 blank, check here ID and provide the Individual Debtor information in item 10 of the Financing Statement Addendum (Form UCC1Ad) <br />2. DEBTOR'S NAME: Provide only one 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 Debtors <br />name will not fit in line 2b, leave all of item 2 blank, check here El and provide the Individual Debtor information in item 10 of the Financing Statement Addendum (Forrn UCC1Ad) <br />4. COLLATERAL: This financing statement covers the following collateral: <br />— All product inventory, including tires, wheels, shocks, brake parts, and front end parts and all parts, attachments, <br />replacements, substitutions, supplies, accessories, accessions, additions and repairs thereto, and all accounts <br />receivables, proceeds, equipment, furniture & fixtures, and general intangibles. <br />5. Check ply 11 applicable and check only one box: Collateral is ❑ held in a Trust (see UCC1Ad, item 17 and Instructions) being administered by a Decedent's Personal Representative <br />6a. Check gay if applicable and check galy one box: 6b. Check galy if applicable and check gray one box <br />0 Public- Finance Transaction 0 Manufactured -Home Transaction ❑ A Debtor is a Transmitting Utility 0 Agricultural Lien 0 Non -UCC Filing <br />7. ALTERNATIVE DESIGNATION (if applicable): 0 Lessee/Lessor ❑ Consignee/Consignor 0 Seller/Buyer 0 Bailee/Bailor 0 Licensee/Licensor <br />8. OPTIONAL FILER REFERENCE DATA: 27010 Grand Island, NE - <br />88764235 <br />Corporation service Company <br />2711 Centena Ile Rd, Ste. 400 <br />Wilmington, DE 19808 <br />