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2� 1 ���44� <br /> UCC FINANClNG STATEMENT ADDENDUM <br /> F�LL�W ENSTRUCTI�NS <br /> 9. NAME�F FIRST DEBTQR: Same as line�a or 1 b on Financ�ng 5tatement,if line 1 b was left blank <br /> because Individua�Debtar name did not fit,check here� <br /> 9a. �RGANIZATIDN'S NAME <br /> �RAND ISLA�TD C�UNTRYH�iJSE, LL� <br /> pR 9b. INOiVI�UAL'S SLIRNAME <br /> F1RST PERS�NA�NAME <br /> A�OIT[4NAL NAME{5}IINITIAL{5� SUFFIX <br /> THE ABQVE SPACE IS FQR FILING�FFICE USE ONLY <br /> 1�. DEBT�R'S NAME: Prv�ide(10a or�Ob}vnly ane addi#ional Debtor name❑r❑ebtor name that did not fit in lir�e 1 b❑r 2b of the Financing Statemenf�Form lJCC1){use exact,ful� <br /> name,do not omit,modif ,❑r abbre�iate an art of the Debtor's name and enter the mailin address in line 1�c <br /> 10a. QR�ANf?J�TIDN'S NAME <br /> aR <br /> 1�b. INDfVIDUAL'S SIJRNAME <br /> IN�IVI[]UAL'S FIRST PERS�NAL NAME <br /> �NDIVI�LIAL ADa1TI�NAL NAME�S]IINITIAL{S} SUFFfX <br /> 10�. MAILNG ADDRESS CITY STATE PnSTAL CDaE C�UNTRY <br /> 11. ADDfT��NAL SECIJRED PARTY'S NAME or ASSIGN�R SECURED PARTY'S NAME: Provide only one name �1 a or 11 b. <br /> 11a. QRGANlZAT14N'S NAME <br /> a� UNITED STATES DEPARTMENT �F H�USING AND URBAN DEVEL�PMENT, �1� �FFI�E <br /> UF HEALTHCARE PR�GR.AMS <br /> 11 b. INOfVIDUAL'S SIJRNAME FIRST PERS�NAL NAME ADflITI�NA�NAME{5)IINiTIAL{5) SUFFIx <br /> �1C. MAfLING AaDRESS CITY STATE P�STAL C�DE CnUNTRY <br /> 451 7TH STREET S.�V. WASHINGT�N DC 2�41� USA <br /> 12. ADDITI�NAL SPACE F�R ITEM 4{�vllateral} <br /> 13. This FINANCING STATEMENT is to be filed[for record]tar re�arded}in 14. This FINANCING STATEMENT <br /> the REAL ESATE RECnRDS if a licahle �covers timber to he cut � co�ers as-extracted callateraf � �s filed as a fixture�ilin <br /> 15. Name and address of REC�RD flWNER of rea!estate descrihed in item 16 Zfi. �escriptian af real estate <br /> ti#Debtar does nat have a record interest}. <br /> See Exh�b�t A attached her�to. <br /> 17. MISCELLANE�US: <br /> FILING�FF10E CDPY-IJCC FlNANClNG STATEMENT ADDENDIJM�F�RM UGC1Ad}�REV.�4120111} <br />