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2� 1 ��437 UCC FINANCIN� STATEIVIENT ADaENDUl1�l F�LLQVI�INSTf�Il�TI�NS 9. NAME❑F FIRST❑EBTQR: Same as line 1 a or 1 b❑n Financing Statement,if line 1 b was left blank because lndividual❑ebtor name did not fit,check here� 9a. DRGANIZ►4T�DN'S NAME �RAI�D ISLAND C�UNTRYH�USE, LLC pR 9b. 1NO�VI�UAt'S SLIRNAME FIRST PERSDNAL NAME ADDITI�NAL NAME{S}IINITIAL�S� 5LIFFIX THE AB�VE SPACE IS F�R FILING DFFICE USE aNLY 1�. DE9T�R'S NAME: Pro�ide{1�a or��b}only❑ne additianal Debtar name or�ehtor name that did not fit in line 1b❑r 2b of the Financing 5tatement(Fvrm LJCC1}�use sxact,€ufl name,do not omitT modi ,❑r abbre�ia#e an art of the❑ebtor's name and enter ths mailin address in line 10c 1�a. �RGANIZATIDN'S NAME �R 1�b. INOIVI�UAL'S SURNAME INDIV1Dl1AL'S FIRST PERS�NAL NAME INDfVI�UAL AODiTIQNAL NAME{S}lIN1TIAL�S} SUFFIX 1�C. MAILNG ADaRESS CITY STATE PDSTAL C��E C�l1NTRY �1. AD�ITIQNAL SECURED PARTY'S NAME vr ASSIGN�R SEC�RED PARTY'S NAME: Pro�ide an�y one name 11 a or 11 b. 11a. �RGAN�ZATI�N'S NAME �R UNITED STATES DEPARTMENT �F H�USIN� AND URBAN DEVEL�PMENT, �1� �FFI�E �F HEALTH�ARE PR�GRAMS 11 b. INDIVIDUAL'S SURNAME FIRST PERSnNAL NAME AC3DITIQNAL NAME(S}IINITIAL{S} SLJFF�X ��c. MAILING ADDRESS CITY STATE P�STAL C�DE C�UNTRY 4S 1 7TH STREET S.W. WASHIN�T�N D� 2U41� USA �2. AD�]ITI�NAL SPACE F�R ITEM 4�Collateral} 13. This FINANClN�STATEMENT is to be filed[for recard](or recorded)in �4. This FINANCING STATEMENT the REAL ESATE REC�RDS if a ticable 0 covers tfmber t❑be cut � �overs as-extracEed caflateral � is fiked as a tixture filin �5. Name and address of REC�R❑�WNER af real estate described in item 1 fi 16. Descriptian of real estate (if❑ebtar daes not have a recvrd interest). See Exhib�t A attached hereto. �7. nniscE��NEous: FILING�FFICE CQPY-UCC FINANClNG STATEMENT A��ENi]UfUI�F�RM uCC1Ad}(REV.0412�1�1}