201702780 - Laserfiche WebLink

Browse

OR tb.INDIVIDUAL'S SURNAME Panowicz FIRST PERSONAL NAME Matthew ADDITIONAL NAME(S) /INITIAL(S) M SUFFIX 1c. MAILING ADDRESS 10288 W White Cloud Rd CITY Cairo STATE NE POSTAL CODE 68824 -9760 COUNTRY USA IMMINISMIM CS) C FINANCING STATEMENT 0 .OW INSTRUCTIONS 1 •. ) J IAME & PHONE OF CONTACT AT FILER (optional) CO 0 MAIL CONTACT AT FILER (optional) :ND ACKNOWLEDGMENT TO: (Name and Address) lrnerstone Bank 33- 160)•6(- 1 , Cenlrol.C404S- 688264e15 4 I Mbi r . ISE (0$0 -0411 r r''1 n= THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY 1. DEBTOR'S NAME: Provide only ffie Debtor name (le or Ib) (use exact, full name; do not omit, malty, or abbreviate any part of the Debtor's name); if any part of t're Individual Debtor's name will not fit In line tb, leave all of item 1 blank, check here ❑ and provide the Individual Debtor Information In Item 10 of the Financing Statement Addendum (Form UCC1Ad) le. ORGANIZATION'S NAME 2. DEBTOR'S NAME: Provide only ono Debtor name (2e or 21)) (use exact, full name; do not omit, modify, or abbreviate any pan of the Debtor's name); If any part of the Individual Debtor's name will not fit In Ilne 2b, leave all of Item 2 blank, check here and provide the Individual Debtor Information In hem 10 of the Financing Statement Addendum (Form UCC1Ad) 2a. ORGANIZATION'S NAME R 2b. INDIVIDUALS SURNAME 20. MAILING ADDRESS 3. SECURED PARTY'S NAME (or NAME of ASSIGNEE of ASSIGNOR SECURED PARTY): Provide only =IIS Secured Party name (3a or 3b) 3a. ORGANIZATION'S NAME OR 3c. FIRST PERSONAL NAME CITY FILING OFFICE COPY -- UCC FINANCING STATEMENT (Form UCC1) (Rev. 12/01/16) ADDITIONAL NAME(S)IINITIAL(S) STATE POSTAL CODE SUFFIX COUNTRY Cornerstone Bank 3b, INDIVIDUAL'S SURNAME MAILING ADDRESS 1631 16th Street FIRST PERSONAL NAME ADDITIONAL NAME(S) /INITIAL(S) CITY Central City STATE NE POSTAL CODE 68826 -1815 SUFFIX COUNTRY USA .... 4. COLLATERAL: This financing statement covers the following collateral: Purchase Money Security Interest in a 2014 Seven Tower Zlmmatic Pivot (Serial Number; LD2022); whether any of the foregoing is owned now or acquired later; ell accessions, additions, replacements, and substitutions relating to any of the foregoing; all records of any kind relating to any of the foregoing, 5. Check only If applicable and check only one box: Collateral Is ❑held Ina Trust (see UCC1Ad, Item 17 and Inetruoeone) Q being administered by a Decedent's Personal Representative 6a. Check fatly If applicable and check only one box: 6b. Check only if applicable and check only one box: O Publl•Ffnanoe Transaction q Manufactured-Nome Transaction 4 A Debtor is a Transmitting Uglily l_ ,Agrioullural Llan E] Non-UCC Filing 7. ALTERNATIVE DESIGNATION (If applicable): Q Lessee/Lessor g ConaignealConalgnor Sellereuyer ij Ballee/Ballor Q Licensee/Licensor 8, OPTIONAL FILER REFERENCE DATA: International Association of Commercial Administrators (IACA)