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��14��139 <br /> UCC FINANCING STATEIVIENT ADDENDUM <br /> FDLLDW INSTRUCTIONS <br /> 9. NAME QF FI R5T DEBTDR: �ame as line 1 a or 1 b on Fina�cing 5tatement,if line 1 b was left blank <br /> because Indi►�dual debtar n�n�did not�it,check here 0 <br /> S�.4RGANIZATIaN'S NAM� <br /> JV BI�I�'�RD MASTER TENANT,LL� <br /> OR � �wDIV#�URL'S SLJRNAME � <br /> FIRST PERS�NAL NAME <br /> AD�ITI4NAL NAME[S}IiN�TIA��Sy SUFFIX <br /> THE AB�VE SPACE 15��]R FILING�FFICE LJ5E QNLY <br /> 1 a. [3EBTOR'S NAME: Provide�1�a ar 10b�oniy gn��dditional Dehtor nam�vr l]ebtar name that did na#ft in line 1 b or 2b of th�Financing Staiement(Form L1CC1}�use exact,full <br /> nam�,cio nat amit,mvdi ,❑r abbre�iate an art af the Debtnr's name and enter the mailin address in line 10c <br /> 1�. QRGANIZATIQN'S NAME <br /> �R <br /> 1ah.INDIVI�UAL'S SURNAME <br /> INDIVII]LJAL'S�#RST PER50NAL NAME <br /> INDIVkDUAL A�C]I7f�NA�NAME(S711NITIAL�S} SIJFF�X <br /> 10c. MA![.NG ADORESS CI7Y STATE �aSTAL CQOE C�UNTRY <br /> 1�. Ap01TIQNAL SECl1RED PARTY'S NAME or AS51GNnR 5ECl1RE❑PARTY'S NAME: Prv�ide onl v e name 1�a or 11 b. <br /> 11a. �RGANI7ATI�N'S NAME <br /> �R SECRETARY t]F H�USIN� AND URBAN DEVELUPMENT, �FFI�E UF RESIDENTIAL <br /> CARE FACILITIES <br /> 19h. INI]IVIDUR�'S SURNAME �IRST PER50NAL NAME ADDITIQNAL NAME(5}lINiTIAL(S} 511F�ix <br /> 11c. MAII.IN�ADDRESS CITY STATE P�STAL CODE COUNTRY <br /> 4517fi"Street SW Washin ton DC ZU41� USA <br /> 12. ADDITI�NAL SPAGE FDR ITEM 4(Callateral} <br /> 13. � This FINANCIMG STATEMENT is to he filed(fvr recor[i](ar recordedy in ���This FINANC4NG STATEMENT <br /> the REAL ESATE RECQR05�if applicable� �covers timhe�t4 be�ut 0 co�ers as-extracted calla#eral 0 is filed as a fixture <br /> �ilin <br /> 15. Name and address of RECORD OWNER of real estate described in item 18 �g. p��,��Ptir�af real estate <br /> {if Debtar cioes not have a recard interest]. <br /> See Exhibit A attaChed hereta. <br /> Grand Isiand Bickford�ottage,L.L.C. <br /> cla National Hea�th In��stors,Inc. <br /> 2��Rob�rt Rase Dri�e <br /> Murfreesboro,Tennessee 3712� <br /> 17, MISCELLAN��US: <br /> FILING C)FF�CE C�PY-UCC�INANCING STATEMENT AODENDLIM{FURM UGC�Ad}(REV.�41�Q111} <br />