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L <br />e INANCING STATEMENT <br />C INSTRUCTIONS <br />I` & PHONE OF CONTACT AT FILER (optional) <br />ERYL GUSTAFSON <br />IL CONTACT AT FILER (optional) <br />ryLgastafson®soarcegas.com <br />1 ACKNOWLEDGMENT TO: (Name and Address) <br />SOURCEGAS LLC <br />PO BOX 544 <br />SUTTON NE 68979 <br />2a ORGANIZATIONS NAME <br />INDINDUAL S SURNAME <br />.. —1DRtiat. <br />3. SECURED PARTY'S NAME (w NAME or ASSIGNEE of ASSIGNOR swum) PARTY) Provide E <br />OR <br />4. COLLATERAL: Tfirs financing statement covers the following <br />1W & t.o/o Me , Ms. 3-' b 3b/Y er <br />epnd e mso{ i tioext v'^— mod. ,a 6 150 . 01 <br />, <br />Alto` 1 g79 -ire /8 36 5 q1 Z -ST <br />3' <br />ant - 643 <br />17! <br />n <br />z <br />r im <br />X <br />IFIRV PERSONAL NAME <br />FILING OFFICE COPY — UCC FINANCING STATEMENT (Form UCC1) (Rev. 04120/11) <br />THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY <br />1. DEBTORS NAME: Provide only one Debtor name (la or 1b) (use exact, Ill name: do not omit, may, or abbreviate any part of the Debtor's name) if any pan of the Individual Debtor's <br />name will not It n line 1b, leave aid barn 1 blank, check here ❑ and provide the Individual Dehfor information in item 10 of the Financing Statement Addendum (Fonnn UCC1Ad) <br />1a. ORGANIZATIONS NAME <br />2. DEBTORS NAME Provide any gg Debtor name (2a or 2b) (use exact, fur name: do not omit, . or abbaviMe any part of the Debtor's name) i any pan of the Individual Debtor's <br />name veil not fit in line 2b, leave al of dem 2 hank, area here ❑ and provide the bakvidual Debtor information it Item 10 of the Financing Statement Addendum (Form UCC1Ad) <br />I ADOmONAL NAME(SyIN IAL(S) <br />STAT E (POSTAL CODE <br />a warty name (3a or 3b) _ _ - <br />SUFFIX <br />COUNTRY <br />SUFFIX <br />3c. MAILING ADDRESS CITY STATE POSTAL CODE COUNTRY <br />PO BOX 544 SUTTON NE 68979 -0544 USA <br />N) <br />CD <br />cn <br />CD <br />W <br />Cn <br />3a ORGANIZATION'S NAME <br />SOURCEGAS LLC <br />3b. INDIVIDUALS SURNAME <br />FIRST PERSONAL NAME <br />ADDITIONAL NAME(SyIAf1AL(S) <br />A : <br />5. Check g� d appioalre and Mock g one boot Collateral is ❑held in a Trust (see UCCIAtt. ism 17 and Instructions) being by a Decedent's is Personal Repreaerdative <br />68. Check aft if ra <br />appible and ooc d check ett one b (9/. Check gett i applicable and d at <br />check ggr ens bo <br />❑ PubloRnaios Trasaeion ❑ M am baebred -Home Transaction ❑ A Debtor is a T ing Utility ❑ Agricultural Lien QNat -UCC Ring <br />7. ALTERNATIVE DESIGNATION ( app ek ❑ ❑ Consignee/Consignor ❑ Soltodeuyer ❑ BadeeiBaior L,oapee&ice sor <br />& OPTIONAL F&ER REFERENCE DATA: <br />In onal Association of Commercial Administrators (IACA) <br />/eel /l. .7-36-5 <br />r ,f7«S i/i6s:-.93Yf <br />