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OR lc. OR 2c. 43 OR 3c. L ANCING STATEMENT >TRUCTIONS 'HONE OF CONTACT AT FILER (optional) (800) 331-3282 Fax: (818) 662 -4141 INTACT AT FILER (optional) "LS_Glendale_Customer Service @wolterskluwer.com 6500 SW Archer Rd Ste H — 4. COLLATERAL: This financing statement covers the following collateral: HVAC <NOWLEDGMENT TO: (Name and Address) 25677 - Citizens State to Solutions 29071 v 48505849 — I .S �j� Glendale, CA 91209 -9071 VV N E N E FIXTURE j File with: Hall County Register of Deeds, NE FILING OFFICE COPY — UCC FINANCING STATEMENT (Form UCC1) (Rev. 04/20/11) 3. SECURED PARTY'S NAME (or NAME of ASSIGNEE of ASSIGNOR SECURED PARTY): Provide only one Secured Party name (3a or 3b) THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY 10.5o 1. DEBTOR'S NAME: Provide only one Debtor name (1 a or lb) (use exact, full name; do not omit, modify, or abbreviate any part of the Debtor's name); if any part of the Individual Debtor's name will not fit in line 1b, leave all of item 1 blank, check here ❑ and provide the Individual Debtor information in item 10 of the Financing Statement Addendum (Form UCC1Ad) la. ORGANIZATION'S NAME 1b. INDIVIDUAL'S SURNAME MARTINEZ MAILING ADDRESS FIRST PERSONAL NAME LEONARDO CITY ADDITIONAL NAME(S)/INITIAL(S) STATE POSTAL CODE SUFFIX COUNTRY 431 E SUNSET AVE GRAND ISLAND NE 68801 USA 2. DEBTORS NAME: Provide only one Debtor name (2a or 2b) (use exact, full name; do not omit, modify, or abbreviate any part of the Debtor's name); if any part of the Individual Debtor's name will not fit in line 2b, leave all of item 2 blank, check here ❑ and provide the Individual Debtor information in item 10 of the Financing Statement Addendum (Form UCC1Ad) 2a. ORGANIZATIONS NAME 2b. INDIVIDUAL'S SURNAME HINOJOS MAILING ADDRESS 1 E SUNSET AVE FIRST PERSONAL NAME JOSEPHINE CITY GRAND ISLAND ADDITIONAL NAME(S) /INITIAL(S) STATE NE POSTAL CODE 68801 SUFFIX COUNTRY USA 3a. ORGANIZATION'S NAME Citizens State Bank 3b. INDIVIDUAL'S SURNAME MAILING ADDRESS FIRST PERSONAL NAME CITY Gainesville ADDITIONAL NAME(SyINITIAL(S) STATE FL POSTAL CODE 32608 SUFFIX COUNTRY USA 5. Check only if applicable and check only one box: Collateral is ❑held in a Trust (see UCC1Ad, item 17 and Instructions) ❑being administered by a Decedent's Personal Representative 6a. Check only if applicable and check on one box: 6b. Check on if applicable and check on one box: ❑ Public- Finance Transaction ❑ Manufactured -Home Transaction p A Debtor is a Transmitting Utility ❑ Agricultural Lien ❑ Non -UCC Filing 7. ALTERNATIVE DESIGNATION (if applicable): ❑ Lessee/Lessor ❑ Consignee /Consignor ❑ Seller/Buyer ❑ Bailee/Bailor ❑ Licensee/Licensor 8. OPTIONAL FILER REFERENCE DATA: 48505849 1100629 Prepared by CT Lien Solutions, P.O. Box 29071, Glendale, CA 91209 -9071 Tel (800) 331 -3282