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rn <br /> m � � � <br /> rnm � y rn <br /> o �� � � �rn � rn <br /> �, �o rn � � o <br /> o �z � � z� � � <br /> � �� � C �Z �7 U] <br /> � z� � � �rn � — <br /> c� �� � � �ov � cn <br /> rn� rn � �� o�o � <br /> rn� � � =c�r� � � <br /> �o � � � � <br /> �� r� <br /> �� � �� rn <br /> o� o° cn � <br /> � �' z <br /> 0 <br /> [JC�FINANCING STATEMENT <br /> F�L.L.aW INSTRllCTInNS <br /> A.NAM�&PH�NE�F CONTRCT AT F9L.�ft�optianal} <br /> B.E-MAIL CDNTACT AT F1LER{optional) <br /> C.S�iVO ACICNOWLED�M�NT TQ: {IVame and Address} <br /> �Access Bank � <br /> 87'I Z West Dodge Road <br /> Dmaha,IVE 68'i'�4 <br /> � � <br /> THE ABOV�SPAC�15 FOR FILING❑�FIGE U5E ONLY <br /> 1.❑EBT�R'S NAME;Provide anly one€?ebtar name{1a or 1 b){use exact,full name;do not omit,modily,ar ahbreviate any parl o€the Rebto�'s nameJ;if any part af the Individual Debtor's <br /> name wili np!fit in fine 1 b,leave alf af iterrl 1 blanic,check here �and pro�ide ihe IndEv�duaf(7ebtor informalian in ilem 1fl oF the Fi�an�i�g Statemenf I�ddendum(l=orr�tJCC1AdJ <br /> ^ 1a.DRGANIZATEON'S IVAM� <br /> TS12 PHASE If LLC <br /> �R ib.fND[Vf�UAL'S SURNAME FIRST PERS�NAL NAM� A[7DITfUNAL NAM�{S}lINITIALtS} 5U1'f'IX <br /> 1c.MAILIi�G A€]DF2ES5 CITY STATF POSTAL CC3�E COLIiVl"RY <br /> 87�2 W DQ#7GE R�,STE 400 QMAHA NE 689�4 USA <br /> 2.DEBTOR`5 NAME:Pro�ide oniy one Debtor name{2a or 2b][use exa�t,fulf name;d�rtat omil,modify,or ahbreviate any�aR af fhe Dehta�s name};if any�art af the Individual De�tv�s <br /> name v��ilE nat fit in flne 2b,lea�e aEl a{item 2 blanfc,check here �ar�d provide the Individuai Dek�lor inf�rrnalion in itern ia of fhe Fii�an�ing Sfatemer�t Addendum{Form UCC9Ad} <br /> 2a.ORGANf7ATION`5 NAME <br /> �R 2h.!{V�IVI�UAL`5 SlJF2hlAMC fIRST PERS�f�AL NA�JIF Atlf]ITl�NAI_NAMF(SJIINfTiRL.{Sy SIJFFIK <br /> 2c.M�l�IiVG AL7UF2ES5 CITY S�ATE POSTAL C��E CaUNTRY <br /> 3.SECURED PARTY`S NAME tflr NAME aF ASSIGNE�af ASSIGNDR S�CUR�D PARTY}:Pravide or�ly one SeciFred�'arty name(3a Qr 3hJ <br /> 3a.ORGANI7ATIOI�'S NAME <br /> Access Bank <br /> �R 3b.iNDIVIDUA�'S SURNAM� FIRST PERS�NAL�JAME ADDf7}OIVAt NAMC�5y11�lETIA��Sy SUFFIx <br /> 3c.MAILiNG AD�R�55 CiTY STA�f� POS t-AL COt7� CDUNTRY <br /> 8T'12 W�st Dodge Rvad Dmaha NE 68'!14 L1SA <br /> �1.COLLATEF2AL: This Financing statemertt co�ers#he following co�faterai: <br /> All of the�raperty,inc[uding personal proper�y and fixtures,described on Exhibit'A'attach�d her�ta and mad�a par�hereof. <br /> A[I inventvry,equipment,accaunts{including but not limited to all heal#h-care-insuran�e recei�ables],chattel paper,instruments�including <br /> but nat limited ta all promissory nates�,letter-af-credit rights,le�ters❑f credit,dacuments,deposit accounts,in�estment prvpe�ty,money, <br /> vther rights to paymen�and perfarmance,and general intangibles�including but nat limi�ed to a!I software and afl payment intangiEales};all <br /> oii,gas and ather minerals before�xtra�tian;all aik,gas,ather minerals and accounts�onstit��ting as-extra�ted cv�lateral;all fixtures;all <br /> timber t�be cut;all at#achments,aGcessians,accessories,fittings,inc�eases,toals,parts,repairs,s�pp[ies,and comrningled goads relating <br /> tv the faregoing properky,and atl additions,replacements of and substitutions for al[or any part❑f the foregoing prope�ty;all insuran�e <br /> refunds relating tQ the foregoin�prop�rty;all good will re[ating ta the foregving property;all recards and data and embedded software <br /> relating to the�oregoing�roperty,and alf equipment,in��ntary and svf�ware fo utilize,crea�e,mainfain and process any su�h records and <br /> data on ele�tt'on�c media;and all supporting obfigati�ns relating ta the foregaing prop�rty;all whether nvw existing ar h�reafter arising, <br /> whether now owned or hereafter acquired or whether now or hereafter subject to any rights in the fvregoing property;ancf all praducts and <br /> proceeds�including but not limit�d to all insurance paymentsy af or relating t❑the faregoing praperty. <br /> 5.Check nnlx iF applicaf�#e and check o�one t�ox:Co�la#era[is�he}d in a irust{see UCC1Ad,item 17 and Instructivns3 �heing admir�isterad by a[]ecedent's Yersflnal F2epreser�tative <br /> 5�.Che�fc a�if applicable and check�{.y one E�4x: :6b.C�eck oniv iF applicable and��eck o�one box: <br /> �Public-Finance Transaction �ManuFa�fured-Home TransaG#ion �A Uebtor is a i'ransmitting Ufilily �Agrici�ltural Liert �Nan-UCC�'i3inr� <br /> 7.AE.TERI�Al IVE f]�51GNATIQN�iF applicable]: �LesseeJLessar ❑Consignee�Consignor ❑ 5el[erl6uyer �Baileel�aifor � LicenseelLicensor <br /> 8.OPT[DI�AL�IL�R R��ERENCE DATA: <br /> �'It 1NC�C']�FI[":F['.C?PY`I I�:C'.FINANC'.dN�'STATFRAFNT(Fnrm I 1[':C:11 fR��� f1r1f�C111-11 ��H <br />