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OR lc. OR 2c. 71 OR 3c. 1 L ANCING STATEMENT iTRUCTIONS 'HONE OF CONTACT AT FILER (optional) (800) 331-3282 Fax: (818) 662 -4141 )NTACT AT FILER (optional) - LS_Glendale_ Customer _Service @wolterskluwer.com _ KNOWLEDGMENT TO: (Name and Address) 30164 - FIDELITY LNn Solutions P.O. Box 29071 Glendale, CA 91209 -9071 49032113 — 1 NENE FIXTURE 3. SECURED PARTY'S NAME (or NAME of ASSIGNEE of ASSIGNOR SECURED PARTY): Provide only one Secured Party name (3a or 3b) — 4. COLLATERAL: This financing statement covers the following collateral: HVAC FILING OFFICE COPY — UCC FINANCING STATEMENT (Form UCC1) (Rev. 04/20/11) File with: Hall County Register of Deeds, NE THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY 1. DEBTORS NAME: Provide only one Debtor name (18 or 1 b) (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 1 b, 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. ORGANIZATIONS NAME lb. INDIVIDUAL'S SURNAME ROSAS MAILING ADDRESS FIRST PERSONAL NAME FRANCISCO CITY ADDITIONAL NAME(S)/INITIAL(S) STATE POSTAL CODE SUFFIX COUNTRY 712 N VINE ST GRAND ISLAND NE 68801 USA 2. DEBTOR'S 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 ROSAS MAILING ADDRESS 2 N VINE ST FIRST PERSONAL. NAME FIDENCIO CITY GRAND ISLAND ADDITIONAL NAME(SWINITIAL(S) STATE NE POSTAL CODE 68801 SUFFIX COUNTRY USA 3a. ORGANIZATIONS NAME FIDELITY BANK 3b. INDIVIDUAL'S SURNAME MAILING ADDRESS 0 E ENGLISH, PO BOX 3377 FIRST PERSONAL NAME CITY WICHITA ADDITIONAL NAME(SWINITIAL(S) STATE KS POSTAL CODE 67201 SUFFIX COUNT USA 0 5. Check on if applicable and check on one box: Collateral is ❑held in a Trust (see UCC1Ad, item 17 and Instructions) ['being administered by a Decedent's Personal Representative 6a. Check on if applicable and check czi_k one box: 6b. Check ork if applicable and check oak one box: ❑ Public-Finance Transaction ❑ Manufactured -Home Transaction ❑ 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: 49032113 1182521 Prepared by CT Lien Solutions, P.O. Box 29071, Glendale, CA 91209 -9071 Tel (800) 331 -3282 rn Tiz O