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OR <br />7a. ORGANIZATION'S NAME <br />7b. INDIVIDUAL'S SURNAME <br />INDIVIDUAL'S FIRST PERSONAL NAME <br />INDIVIDUAL'S ADDITIONAL NAME(S) / INITIAL(S) <br />SUFFIX <br />7c. MAILING ADDRESS <br />CITY <br />STATE <br />POSTAL CODE <br />COUNTRY <br />la. INITIAL FINANCING STATEMENT FILE NUMBER <br />99106776 <br />5. ❑ PARTY INFORMATION CHANGE: <br />Check Qat of these two boxes: <br />This Change affects ❑Debtor Qt ❑Secured Party of record <br />6. CURRENT RECORD INFORMATION: Complete for Party Information Change - provide only gne name (6a or 6b) <br />OR <br />OR <br />L <br />-1! -1NANCING STATEMENT AMENDMENT ,�. <br />INSTRUCTIONS <br />& PHONE OF CONTACT AT FILER (optional) <br />a Duester 308 - 389 -8808 <br />L CONTACT AT FILER (optional) <br />i ACKNOWLEDGMENT TO: (Name and Address) <br />_ .ve Points Bank <br />3111 W Stolley Park Rd <br />Grand Island NE 68801 <br />oso <br />10. OPTIONAL FILER REFERENCE DATA: <br />Bosselman Pump & Pantry, Inc fka Bosselman Inc <br />If this is an Amendment authorized by a DEBTOR, check here ❑ and provide name of authorizing Debtor <br />DELETE collateral <br />C.D <br />THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY <br />2. ❑ TERMINATION: Effectiveness of the Financing Statement identified above is terminated with respect to the security interest(s) of Secured Party authorizing this Termination <br />Statement <br />3. ❑ ASSIGNMENT (full or partial): Provide name of Assignee in item 7a or 7b, and address of Assignee in item 7c afd name of Assignor in item 9 <br />For partial assignment, complete items 7 and 9 and also indicate affected collateral in item 8 <br />AND Check one of these three boxes to: <br />CHANGE name and/or address: Complete ADD name: Complete item <br />❑ item 6a or 6b; and item 7a or 7b and item 7c ❑ 7a or 7b, afd Rem 7c <br />❑ RESTATE covered collateral <br />9. NAME OF SECURED PARTY OF RECORD AUTHORIZING THIS AMENDMENT: Provide only gng name (9a or 9b) (name of Assignor, if this is an Assignment) <br />SUFFIX <br />SUFFIX <br />1b. This FINANCING STATEMENT AMENDMENT is to be filed [for record] <br />(or recorded) in the REAL ESTATE RECORDS <br />Filer attach Amendment Addendum (Form UCC3Ad) and provide Debtor's name in item 13 <br />4. ❑ CONTINUATION: Effectiveness of the Financing Statement identified above with respect to the security interest(s) of Secured Party authorizing this Continuation Statement is <br />continued for the additional period provided by applicable law <br />DELETE name: Give record name <br />to be deleted in item 6a or 6b <br />6a. ORGANIZATION'S NAME <br />6b. INDIVIDUAL'S SURNAME <br />FIRST PERSONAL NAME <br />ADDITIONAL NAME(S) /INITIAL(S) <br />7. CHANGED OR ADDED INFORMATION: Complete for Assignment or Party Information Change - provide only Qpg name (7a or 7b) (use exact, full name; do not omit, modify, or abbreviate any part of the Debtor's name) <br />ASSIGN collateral <br />8. 121 COLLATERAL CHANGE: Alas check one of these four boxes: ❑ ADD collateral <br />Indicate collateral: <br />PUMP & PANTRY CONVENIENCE STORE FIXTURES INCLUDING BUT NOT LIMITED TO, FUEL PUMPS, <br />STORAGE TANKS, COOLERS ETC. LOCATED AT 103 W. US HWY. 2 PUMP & PANTRY. LEGAL LOTS 1, 2, 3, 4, 5 <br />& 6 BLOCK 5 ORIGINAL TOWN OF CAIRO, HALL COUNTY, NEBRASKA <br />9a. ORGANIZATION'S NAME <br />Five Points Bank <br />9b. INDIVIDUAL'S SURNAME <br />FIRST PERSONAL NAME <br />ADDITIONAL NAME(S) /INITIAL(S) <br />International Association of Commercial Administrators (IACA) <br />FILING OFFICE COPY — UCC FINANCING STATEMENT AMENDMENT (Form UCC3) (Rev. 04/20/11) <br />