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UK <br />2b. INDIVIDUAL'S SURNAME <br />FIRST PERSONAL NAME <br />ADDITIONAL NAME(S) /INITIAL(S) <br />SUFFIX <br />2c. MAILING ADDRESS <br />CITY <br />STATE <br />POSTAL CODE <br />COUNTRY <br />VtC <br />3b. INDIVIDUAL'S SURNAME <br />FIRST PERSONAL NAME <br />ADDITIONAL NAME(S) /INITIAL(S) <br />SUFFIX <br />3c, MAILING ADDRESS <br />99 W 6TH ST, PO BOX 668 <br />CITY <br />FREMONT <br />STATE <br />NE <br />POSTAL CODE <br />68025 <br />COUNTRY <br />USA <br />OR <br />lc. <br />2 <br />9NANCING STATEMENT <br />, INSTRUCTIONS <br />& PHONE OF CONTACT AT FILER (optional) <br />L CONTACT AT FILER (optional) <br />ACKNOWLEDGMENT TO: (Name and Address) <br />JNACLE BANK <br />.EMONT MAIN <br />99 W 6TH ST <br />L FREMONT, NE 68025 <br />2a. ORGANIZATIONS NAME <br />3a. ORGANIZATIONS NAME <br />PINNACLE BANK <br />1 <br />FILING OFFICE COPY — UCC FINANCING STATEMENT (Form UCC1) (Rev. 04/20/11) <br />C11 <br />C <br />r\) <br />( 1) <br />THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY <br />m <br />-f <br />m <br />rl <br />ry <br />CO <br />(n <br />CD <br />CD <br />rri <br />CIl . <br />—1 <br />-c <br />1 � 5 <br />1. DEBTORS NAME: Provide only one Debtor name (1a 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 Debtors <br />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) <br />la. ORGANIZATIONS NAME <br />H PROPERTIES OF GRAND ISLAND, LLC <br />1b. INDIVIDUAL'S SURNAME <br />MAILING ADDRESS <br />15 E 23RD AVE SOUTH SUITE 500 <br />FIRST PERSONAL NAME <br />CITY <br />FREMONT <br />ADDITIONAL NAMES) /INITIAL(S) <br />STATE <br />NE <br />POSTAL CODE <br />68025 <br />SUFFIX <br />COUNTRY <br />USA <br />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 <br />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 UCC1 Ad) <br />3. SECURED PARTY'S NAME (or NAME of ASSIGNEE of ASSIGNOR SECURED PARTY): Provide only one Secured Party name (3a or 3b) <br />4. COLLATERAL: This financing statement covers the following collateral: <br />All Inventory, Chattel Paper, Accounts, Equipment, General Intangibles and Fixtures; whether any of the foregoing is owned now or acquired <br />later; all accessions, additions, replacements, and substitutions relating to any of the foregoing; all records of any kind relating to any of the <br />foregoing LOCATED AT 3721 W 13TH STREET, GRAND ISLAND, NE 68803. <br />5. Check grUly if applicable and check only one box: Collateral is ❑held in a Trust (see UCC1Ad, item 17 and Instructions) ❑ being administered by a Decedents Personal Representative <br />6a. Check only if applicable and check only one box: 6b. Check gplk if applicable and check only one box: <br />❑ Public- Finance Transaction ❑ Manufactured -Home Transaction ❑ A Debtor is a Transmitting Utility ❑ Agricultural Lien ❑ Non - UCC Filing <br />7. ALTERNATIVE DESIGNATION (if applicable): ❑ Lessee /Lessor ❑ Consignee/Consignor ❑ Seller/Buyer ❑ Bailee /Bailor ❑ Licensee/Licensor <br />8. OPTIONAL FILER REFERENCE DATA: <br />D+H <br />400 S.W. 6th Avenue, Portland, Oregon 97204 <br />