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��15���14 <br /> IJ�C F[NAN��NG�TATENIENT <br /> FaLL�W INSTRIJCTIDNS <br /> A.NAME S PHDNE❑F C�NTACT AT F�LER�optianal} <br /> Adam I{irshenb aum <br /> B.E-MAIL CflNTACT AT FILER(optional} <br /> a�rshenbaum a�bairdholm.�om <br /> �.SEND ACKN�VIILEDGfvIEA1T T�: �Name and Address} � <br /> �Adam Kirshen�aum � <br /> Baird Halm LLP <br /> 17UU Farnam Street,5uife 15U� <br /> �maha,NE 651�� <br /> � � <br /> THE ABQVE SPACE IS FOR FILENG�FF�CE U5E DNLY <br /> '�.❑EBTaR'S NAME: Pmv�de only�g Debtor name{1a ar�b}(�rse exact,full�ame;do nat amit,modify,ar abbreviate any part af the❑ehtor's name};]f any part of the Individual�ebtar's <br /> name will nat ft in li�re 1b,lea�e ali af item 1�iank,check here � and pravfde the Endlvidual Qehtor Infarmatfon in item 1�af the Flnan�kng 5tatement Addendum���rm 11CCiAd} <br /> ` 1a.aRGANi�P►TIC]N'S NAME <br /> FLATR��I�DEVEL�PMENT, LLC <br /> �� �b.lNQiVIDUAL'S SIJRNAME FIRST PER50hlA�NAME ADa�TI�NAL NAMEtS�liNiTiAL�S} SLIFFIX <br /> 1 c. MAILlNG AQ�RESS CITY STATE POSTAL C��E C�UNTRY <br /> 114U2 Sapp�ros.Dri�e �maha NE 6�135 U�A <br /> 2.DEBT�R`5 NAME: Prov�de❑nly p�❑ebtor name�2a or 2b}{use exact,ful!name;do nat om�t,mod�fy,vr ahbrev�ate any pa�t of the Dehtor's name};ff any part of the Individua!Qebtor's ' <br /> name w�ll not t�t in�tne 2b,ieave all of item 2�lank,check here � and pravi�e t�e Indi�ldual❑�btvr inf�rmati�n ir�[tem 10 Qf the Financing 5tatement Addendum{Form U��1Ad} <br /> 2a.❑RGANIZATI�N'S NAME <br /> �R 2b.IN�IVI�UA�.'S SURNAME FERST PERS�NAL NAME AQDITIQNAL NAME(S�IINITIAL[5} SLJFFE?C <br /> �c. MAI�ING ADDRESS CITY STATE P�STAL C�I�E ��iJNTRY <br /> 3.SE�LIRE❑PARTY�S NAME[�r NAME af ASS��NEE of ASSIGNOR SECURED PARTI'}: Pr�vfde only�.5ecured Party name(3a�r 3�� <br /> 3a.❑RGANIZATI�N'S NAME <br /> WELLS FARG�SANI�., NATI�NAL ASS�CIATI�N <br /> �R 3b.�NQIVIQUAL'S SURNAME FIRST PERSaNAL NAME AODITI�NAL NAME�S}IlNfTIA�.(5} S�FFIX <br /> 3c. MAItlNG A��RE55 GITY STATE P�STAL C�C]E G��NTRY <br /> MAC NS��9-42D 13G�5 Califarnia St. Ste �UU �maha NE G8154 USA <br /> 4.GOLLATERAL: This flnandng statemen#cavers the�alfvwing coilateral: <br /> `� See Exhibit A hereto and incarparated her�in by this referen�e <br /> 5.Chedc g�y if applicahle and ctfeck p�y one h�x:Callateral is held in a Trust�s�e lJCC1Ad,item 1�and Instnlctions� being a�ministered hy a Decedent's Persa�al RepresentatIve <br /> 5a.Check�y Ff applicable and check g�y�ne bax: fib.Check gpJy(f�pplicable and che�lc�#y�ne box: <br /> � Publlc-Finance Transa�tfon � Manufactured-Home Transactior� � A��btor is a Transmitting LJtllfty � Agricultural Lien �Nan-UCC Filing <br /> 7.ALTERNATIVE DESIGNATIQN�if appl�cabley: �LesseelLessar � CansfgneelConsignor � 5elierl6uyer � 6aileelBailor � Licensee�Licensor <br /> 8.�PTI�NAL FILER REFERENGE DATA: <br /> W34�U-U��13 tHall County� <br /> lntema#ional Assaciatian v�Cvmmer�ial Administratars(lACA) <br /> FiLIN��FFICE C�RY--UC�FIIVANCIh1G STATEMENT�Form UCC1��Re�.❑4I2�1��} <br />