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OR <br />21a. ORGANIZATIONS NAME <br />21b. INDIVIDUAL'S SURNAME <br />WOITASZEWSKI <br />FIRST PERSONAL NAME <br />ANDREW <br />ADDITIONAL NAME(S) /INITIAL(S) <br />JOHN <br />SUFFIX <br />21c. MAILING ADDRESS <br />10919 W CAPITAL AVE. <br />CITY <br />WOOD RIVER <br />STATE <br />NE <br />POSTAL CODE <br />68883 <br />COUNTRY <br />22. <br />OR <br />ADDITIONAL SECURED PARTY'S NAME Q ASSIGNOR SECURED PARTY'S NAME: Provide only ggg name (22a or 22b) <br />22a. ORGANIZATIONS NAME <br />22b. INDIVIDUALS SURNAME <br />FIRST PERSONAL NAME <br />ADDITIONAL NAME(S) /INITIAL(S) <br />SUFFIX <br />22c. MAILING ADDRESS <br />CITY <br />STATE <br />POSTAL CODE <br />COUNTRY <br />23. <br />OR <br />❑ ADDITIONAL SECURED PARTY'S NAME gr ❑ ASSIGNOR SECURED PARTY'S NAME: Provide only grg name (23a or 23b) <br />23a. ORGANIZATIONS NAME <br />23b. INDIVIDUALS SURNAME <br />FIRST PERSONAL NAME <br />ADDITIONAL NAME(S)/INITIAL(S) <br />SUFFIX <br />23c. MAILING ADDRESS <br />CITY <br />STATE <br />POSTAL CODE <br />COUNTRY <br />UCC FINANCING STATEMENT ADDITIONAL PARTY <br />FOLLOW INSTRUCTIONS <br />NAME OF FIRST DEBTOR: Same as line 1a or 1b on Financing Statement; if line 1b was left blank <br />because Individual Debtor name did not fit, check here <br />18a. ORGANIZATIONS NAME <br />18b. INDIVIDUALS SURNAME <br />WOITASZEWSKI <br />FIRST PERSONAL NAME <br />ADAM <br />L <br />ADDITIONAL NAME(S) /INITIAL(S) <br />SUFFIX <br />18. <br />OR <br />19. ADDITIONAL DEBTORS NAME <br />OR <br />19c. <br />10 <br />20150 094 <br />THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY <br />Provide only ggg Debtor name (19a or 19b) (use exact, full name; do not omit, modify, or abbreviate any part of the Debtor's name) <br />19a. ORGANIZATIONS NAME <br />19b. INDIVIDUALS SURNAME <br />WOITASZEWSKI <br />MAILING ADDRESS <br />919 W CAPITAL AVE. <br />FIRST PERSONAL NAME <br />AMBER <br />CITY <br />WOOD RIVER <br />ADDITIONAL NAME(S) /INITIAL(S) <br />MARIE <br />STATE <br />NE <br />POSTAL CODE <br />68883 <br />20. ADDITIONAL DEBTORS NAME: Provide only png Debtor name (20a or 20b) (use exact, full name; do not omit, modify, or abbreviate any part of the Debtor's name) <br />OR <br />20c. <br />10 <br />21. ADDITIONAL DEBTORS NAME: Provide only Qne Debtor name (21a or 2 b) (use exact, full name; do not omit, modify, or abbreviate any part of the Debtor's name <br />. IVIIJI;tLLHNtUUJ: <br />SUFFIX <br />COUNTRY <br />20a. ORGANIZATION'S NAME <br />20b. INDIVIDUALS SURNAME <br />WOITASZEWSKI <br />MAILING ADDRESS <br />919 W CAPITAL AVE. <br />FIRST PERSONAL NAME <br />ANDREW <br />CITY <br />WOOD RIVER <br />ADDITIONAL NAME(S) /INITIAL(S) <br />J <br />STATE <br />NE <br />POSTAL CODE <br />68883 <br />SUFFIX <br />COUNTRY <br />FILING OFFICE COPY — UCC FINANCING STATEMENT ADDITIONAL PARTY (Form UC CIAP) <br />International Association of Commercial Administrators (IACA) <br />11j <br />