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201508665
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Last modified
12/22/2015 4:38:26 PM
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12/22/2015 4:38:26 PM
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DEEDS
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201508665
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UCC FINANCING STATEMENT ADDENDUM <br />FOLLOW INSTRUCTIONS <br />AME OF FIRST DEBTOR: Same as line la or 1b on Financing Statement; if line 1b was left blank <br />ecause Individual Debtor name did not fit, check here ❑ <br />9a. ORGANIZATION'S NAME <br />KM GRAND ISLAND JOINT VENTURE, LLC <br />9b. INDIVIDUAL'S SURNAME <br />FIRST PERSONAL NAME <br />ADDITIONAL NAME(S) /INITIAL(S) <br />SUFFIX <br />9. <br />OR <br />10. DEBTOR'S NAME: Provide (10a or 10b) only slllfl additional Debtor name or Debtor name that did not fit in line lb or 2b of the Financing Statement (Form UCC1) (use exact, full name; <br />do not omit, modify, or abbreviate any part of the Debtor's name) and enter the mailing address in line 10c <br />R <br />OR <br />11c <br />10a. ORGANIZATION'S NAME <br />10b. INDIVIDUAL'S SURNAME <br />INDIVIDUAL'S FIRST PERSONAL NAME <br />INDIVIDUAL'S ADDITIONAL NAME(S) / INITIAL(S) <br />10c. MAILING ADDRESS <br />11. D ADDITIONAL SECURED PARTY'S NAME g <br />12. ADDITIONAL SPACE FOR ITEM 4 (Collateral): <br />13. J This FINANCING STATEMENT is to be filed [for record] (or recorded) in the <br />REAL ESTATE RECORDS (if applicable) <br />15. Name and address of a RECORD OWNER of real estate described in item 16 <br />(if Debtor does not have a record interest): <br />17. MISCELLANEOUS: <br />CITY <br />STATE <br />ASSIGNOR SECURED PARTY'S NAME: Provide only pne, name (11a or 11b) <br />201508665 <br />THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY <br />POSTAL CODE <br />11a. ORGANIZATION'S NAME <br />11 b. INDIVIDUAL'S SURNAME <br />MAILING ADDRESS <br />FIRST PERSONAL NAME <br />CITY <br />ADDITIONAL NAME(S) /INITIAL(S) <br />STATE <br />POSTAL CODE <br />SUFFIX <br />COUNTRY <br />SUFFIX <br />COUNTRY <br />14. This FINANCING STATEMENT: <br />❑ covers timber to be cut ❑ covers as- extracted collateral VI Is filed as a fixture filing <br />16. Description of real estate: <br />See Exhibit A attached hereto and incorporated herein for <br />description of real property. <br />International Association of Commercial Administrators (IACA) <br />FILING OFFICE COPY — UCC FINANCING STATEMENT ADDENDUM (Form UCC1Ad) (Rev. 04/20/11) <br />
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