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��14��143 UC�FINANCING STATEMENT►4DDENDUM FQl�L�W INSTRLJCTIQNS 9. NAME�F F1RST DEBTOR: 5ame as line 1a ar 1 b on Fin�r�ing 5tatement,if line 1 b was left blank because Individual D��tvr name did not fit,check here 0 9a.QRGAMIZA'fIQN'S NAME GRAND ISLANI]BICKF�R.I]CUTTAGE�P�U,LLC �R 9b. IN�IVIDUAL'S SURNAME F1RST PERSdNAL PIAME AfI��TI�NAL NAME[SylaNiTIA�.[S} SUFFIX THE ABQVE SPACE 15�4R FILING OFFIG�U5E QNl.Y 1fl_DEBTQR'S NAME: Prv►ride{1�a or 1�}vnly one additiar�al Debtvr name ar�3e�tor narr�e t#�at did nnt f�t in line��or 2b af the Financing Statement{Farm UCC1}{use exact,full name,do not omit,rr�adi ,ar a�bre�iat�an art of the Deb#o�s name and errter the mailin address in line 10c 1 Da.QR�AN IZATlO N'S NAM� . oR 10b.INDIVIQUAL'S Sl1FtNAME INDIVIL7LJAL'S FIRST PERSC7NAL NAME INDIVEC]UAL ADDfT1�NAL NAM�(S)IINITIAL{5] 5L1FF1?{ ��c. MAiLNG AOORESS CI7Y STATE P�STAL COdE CQlJN7RY • 11. � ADQiTfONAL SECURE❑PARTY'S NAME❑r ASSIGNOR SE�LJRED PARTY'S NAME: Pro�ide anl one name �1a ar 71b_ 11a. QRGANIZATIQN'S NAME aR SE�RETARY 4F H�USING AND URBAN DEVEL�PMENT, �FFICE �F RESIDENTIAL CARE FACILITIE� 11 b. INDlVIDUAL'S SURNAME FIRST PERS4NAl.NAME ADDITIQNAI..NAMEtS}11N#TIAL(�} SUFFIX �1c. MAILkNG ADDRESS �ITY STATE PDSTAL CODE C�UNTRY 451 7th Street SW Washin tvn DC 2�41U USA 1�. ADDITl�NAL SPACE FQR ITEM 4{Cvllateral} 13. This FINANCING STATEMENT is ta be frled;fvr recor�d}{vr recarded}in ��This FINAIVCING STATEMENT the REAL ESATE REC�RDS[if appficadfe} 0 co�ers timber ko be cut 0 covers as-extraded c�llatera! � is filed as a �ixture fil�n 15. Name and addrr�ss af REC�RD OWNER af real estate described in item 1B 16. E)escrip�vn of re�estate ��o��t°�d�5 n°t��a`��,t�`�5t�. See Exh ihit A attached hereto. Grand I51and Bickford Cottage,L.L.�. �la National Hea�th In�estors,Inc. �ZZ Rabert Rose Dri�e Murfreesboro,Tenness�e 371Z9 17. M15CELLAN�QlJS� FILING OFFICE CC3PY-UCC FINANCIPVG STATEMENTADDENQLIM��[7RM UCC1Rd}�REV.041201i'k}