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OR 1 b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX 1c. MAILING ADDRESS PO Box 83327 CITY Lincoln STATE NE POSTAL CODE 68501 -3327 COUNTRY USA OR 2b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S) /INITIAL(S) SUFFIX 2c. MAILING ADDRESS CITY STATE POSTAL CODE COUNTRY OR 3b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S) /INITIAL(S) SUFFIX 3c. MAILING ADDRESS 6000 Village Drive, Suite 100 CITY Lincoln STATE NE POSTAL CODE 68516 COUNTRY USA N JANCING STATEMENT e Cn STRUCTIONS III■unem 1. L PHONE OF CONTACT AT FILER (optional) ONTACT AT FILER (optional) ;KNOWLEDGMENT TO: (Name and Address NtBRASKA BANK OF COMMERCE 6000 Village Drive Lincoln, NE 68516 la. ORGANIZATION'S NAME Southern Hospitality Ventures, Inc 2a. ORGANIZATION'S NAME 3a. ORGANIZATION'S NAME Nebraska Bank of Commerce C m m C I 6a. Check only if applicable and check only one box: 0 Public- Finance Transaction El Manufactured -Home Transaction 0 A Debtor is a Transmitting Utility 7. ALTERNATIVE DESIGNATION (if applicable): ❑ Lessee /Lessor Consignee /Consignor Seller /Buyer 8. OPTIONAL FILER REFERENCE DATA: FILING OFFICE COPY — UCC FINANCING STATEMENT (Form UCC1) (Rev. 04/20/11) J - 1 THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY rt) CD DEBTOR'S NAME: Provide only one Debtor name (la or 1b) (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 lb, leave all of item 1 blank, check here El and provide the Individual Debtor information in item 10 of the Financing Statement Addendum (Form UCC1Ad) 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 0 and provide the Individual Debtor information in item 10 of the Financing Statement Addendum (Form UCC1Ad) 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: ALL OF THE GRANTOR'S INTEREST IN THE INVENTORY, FURNITURE, FIXTURES AND EQUIPMENT LOCATED AT 1230 ALLEN DR, GRAND ISLAND NE 68803. 5. Check only if applicable and check only one box: Collateral is 0 held in a Trust (see UCC1Ad, item 17 and Instructions) 0 being administered by a Decedent's Personal Representative 6b. Check only if applicable and check only one box: 0 Agricultural Lien 0 Bailee /Bailor Non -UCC Filing Licensee /Licensor D +H 400 S.W. 6th Avenue, Portland, Oregon 97204 l o‘"