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N <br />a � 9NANCING STATEMENT AMENDMENT <br />N INSTRUCTIONS <br />Cn <br />B _ & PHONE OF CONTACT AT FILER (optional) <br />CO ; I. Smith <br />IL CONTACT AT FILER (optional) <br />:h @gilawfirm.com <br />) ACKNOWLEDGMENT TO: (Name and Address) <br />I. Smith YLtiC ft <br />Box 790 <br />Grand Island, NE 68802 -0790 <br />la. INITIAL FINANCING STATEMENT FILE NUMBER <br />201105721 <br />2. Q TERMINATION: Effectiveness of the Financing Statement identified above is terminated <br />with respect to the security interest(s) of Secured Party authorizing this Termination <br />5. ❑ PARTY INFORMATION CHANGE: <br />Check one of these two boxes:. atQ Check one of these three boxes to: <br />This Change affects ❑ Debtor g.( ❑Secured Party of record <br />6. CURRENT RECORD INFORMATION: Complete for Party Information Change - provide only one name (6a or 6b) <br />OR <br />R <br />7a. ORGANIZATION'S NAME <br />7b. INDIVIDUAL'S SURNAME <br />INDIVIDUAL'S FIRST PERSONAL NAME <br />INDIVIDUAL'S ADDITIONAL NAME(S)/INITIAL(S) <br />7c. MAILING ADDRESS <br />COLLATERAL CHANGE: 6.1g2 check gpe of these four boxes: <br />Indicate collateral: <br />OR <br />10. OPTIONAL FILER REFERENCE DATA: <br />CITY <br />1 <br />FILING OFFICE COPY — UCC FINANCING STATEMENT AMENDMENT (Form UCC3) (Rev. 04/20/11) <br />THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY <br />lb. is This FINANCING STATEMENT AMENDMENT is to be filed [for record] <br />(or recorded) in the REAL ESTATE RECORDS <br />Filer: attach Amendment Addendum (Form UCC3Ad) and provide Debtor's name in item 13 <br />❑ ASSIGNMENT (full or partial): Provide name of Assignee in item 7a or 7b, and address of Assignee in item 7c sad name of Assignor in item 9 <br />For partial assignment, complete items 7 and 9 and also indicate affected collateral in item 8 <br />4. ❑ CONTINUATION: Effectiveness of the Financing Statement identified above with respect to the security interest(s) of Secured Party authorizing this Continuation Statement is <br />continued for the additional period provided by applicable law <br />CHANGE name and /or address: Complete ADD name: Complete item DELETE name: Give record name <br />111 item item 68 or 6b; And item 7a or 7b a item 7c ❑ 7a or 7b. and item 7c ❑ t b d in it 6 or 6b <br />6a. ORGANIZATION'S NAME <br />6b. INDIVIDUAL'S SURNAME <br />FIRST PERSONAL NAME <br />ADDITIONAL NAME(S) /INITIAL(S) <br />7. CHANGED OR ADDED INFORMATION: Complete for Assignment or Party Information Change - provide only one name (78 or 7b) (use exact, full name; do not omit, modify, or abbreviate any part of the Debtor's name) <br />STATE <br />POSTAL CODE <br />9. NAME OF SECURED PARTY OF RECORD AUTHORIZING THIS AMENDMENT: Provide only one name (9a or 9b) (name of Assignor, if this is an Assignment) <br />I this is an Amendment authorized by a DEBTOR, check here ❑ and provide name of authorizing Debtor <br />SUFFIX <br />SUFFIX <br />COUNTRY <br />ADD collateral ❑ DELETE collateral ❑ RESTATE covered collateral ❑ ASSIGN collateral <br />9a. ORGANIZATION'S NAME <br />9b. INDIVIDUAL'S SURNAME <br />Prescott <br />FIRST PERSONAL NAME <br />David <br />ADDITIONAL NAME(S)/INITIAL(S) <br />Nancy <br />SUFFIX <br />International Association of Commercial Administrators (IACA) <br />