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2� 15�82� 1 U�C FINAN�tN� STATENfENT ADC3ENDUM FaLLQW iNSTRUCTI�NS 9.NAME�F F�RST DEBTOR: Sam�as line 1a or 1�on�i�an�ing 5tatemen#;if#ine 1�was[eft blank because Individual�ebtvr name did not fit,check here � 9a.QR�ANiZATI�N'S NAME Vi�tory Place,LL� QR 9b.lNDiVIDLJAL'S SURNAME FIRST PERS�NAI.NAME ADDITIQNAL NAME{S}JIN1TlAL�S} SUFFlX THE ABOVE SRACE IS F4R FILiNG[7FFICE USE QNLY �v. DESTOR`S NAM E: Provide�1 Qa ar 9 a�}only ane additivnai Debtor r�ame❑r�e�tar name that did nvt ft in line 1�or 2h of the Financir�g Statement[Farm UCC1}{use exact,f�!{name; — dv nvt amit,madify,❑r abbreviate any part of the❑ebtors r�ame)and enter the maifing address in lina'10� #�a,aRGANIZATIQN'S NAME QR 1Qt�.INOEVI�UAL'S SURNAME IND�VIDUA�'S FlRST PER50NA�NAME 1NDlVID�AL'S ADDITIQNAl.NAME�S}IkN1T1AL�S� SUFF�X 'I��. MAIl.iNG ADDRESS CITY STATE PC]STAL CaDE C�llNTRY 1�.�Aoo�T�aNA�SECURED PARTY'S NAIUlE �r []ASSI�N�R SECURED PARTY'S NAME: Pravide only o�e,name�1�a or 1�b} 11 a.QRGANIZATI�N`S NAME �R 11b.1N[]IVIDUA�'S SURNAME FiRST PERS�NAL NAME A�QITIQNAL NAME�S}IiN�TIAL�S} SUFFIx 11 c. MAI�ING ADORESS CITY STATE PQSTAL CnDE C�UNTRY 12.ADDlTI�NAL SPACE FQR ITEM 4�Coilateral}: 13.�This FlNANCING STATEMENT�s to be filed(far recard��ar recorded}in the 14.This FlNANCiNG STATEMENT: REAL ESTATE RECORDS (if applicahle} �cavers tim�sr ta be cut ��overs as-extracEed colfateral �is fiied as a fixfure filing '15.Name and address af a RECDRD�WNER of real�state des�ribed in item 16 16_Descriptior�of rea!estate: (if Debtar does n�t have a racord interest�: See a�ta�hed legal descrip�ion. 17,M�SCELLANE�IJS: international Assoc�ation of�flmmercia�Administrators{IACA� FILING�FF10E C�PY—IJCC F�NANGING STATEMENT ADDENDIJM�Form�CC�Ad}tRev,�412�1�1}