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FINANCING STATEMENT J INSTRUCTIONS (front and back) CAREFULLY B. SEND ACKNOWLEDGMENT TO: (Name and Address) F—LexisNexis Document Solutions Dn P. O. Box 2969 300 Springfield, Illinois 62708 I M1 THIS SPACE FOR USE OF FILING OFFICE 200107287 THE ABOVE SPACE IS FOR FILING OFFICE USE 1. DEBTOR'S EXACT FULL LEGAL NAME - insert only one debtor name (1 a or 1 b) do not abbreviate or combine names 1 a. ORGANIZATION'S NAME OR Concord Hospitality, Inc. 3. SECURED PARTY'S NAME OR NAME OF TOTAL ASSIGNEE OR ASSIGNOR S P - insert only one secured Darty name 3a or 3b 3a. ORGANIZATION'S NAME OR 3b. INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE NAME SUFFIX 3c. MAILING ADDRESS CITY STATE POSTAL CODE OUNTRY One South Wacker Drive, Suite 1500 Chicago IL 60606 USA 4. This FINANCING STATEMENT covers the following collaterall: NE —Hall County Accounts receivable, contract rights, general intangibles, inventory, trade, store and other fixtures and all supplies, equipment and other tangible personal property and leasehold improvements with respect to the Locations of Collateral described on Schedule X attached hereto, and any of the foregoing which is or might become fixtures on the real estate described on Schedule Y attached hereto, all as more fully described on Schedule X attached hereto. 5. ALTERNATIVE DESIGNATIION if applicable: LESSEE /LESSOR CONSIGNEE /CONSIGNOR BAILEE /BAILOF SELLER /BUYER AG LIEN NON -UCC FILING g. his I is to i e l or record or records) in the 7. Check to REQUEST SEARCH REPORT(S) on Debtor(S) ESTATE RECORDS Attach addendum if applicable) II Debtor Debtor Ili Debtor 2 S. OPTIONAL FILER REFERENCE DATA FILING OFFICER COPY- NATIONAL UCC FINANCING STATEMENT (FORM L1CC1) (REV. 07/29/98) LexisNexis Document Solutions 1b. INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE NAME SUFFIX 1c. MAILING ADDRESS - 1701 Windhoek Drive CITY Lincoln STATE NE POSTAL CODE 61512 COUNTR' USA 1d. TAX ID # SSN OR EIN ADD'NL INFO RE ORGANIZATION nrRTnR 1 1e. TYPE OF ORGANIZATION CORP 1f. JURISDICTION OF ORGANIZATION INE 1g. ORGANIZATIONAL I.D.t/, if any 2. ADDITIONAL DEBTOR'S EXACT FULL LEGAL NAME - insert only one debtor name (2a or 2b) -do not abbreviate or combine names 2a. ORGANIZATION'S NAME OR 2b. INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE NAME SUFFIX 2c. MAILING ADDRESS CITY STATE POSTAL CODE OUNTRY 2d. TAX ID A SSN OF EINI ADD'NL INFO RE ORGANIZATION 2e. TYPE OF ORGANIZATION 2f. JURISDICTION OF ORGANIZATION 2g. ORGANIZATIONAL I.D.1f, if any I-1 3. SECURED PARTY'S NAME OR NAME OF TOTAL ASSIGNEE OR ASSIGNOR S P - insert only one secured Darty name 3a or 3b 3a. ORGANIZATION'S NAME OR 3b. INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE NAME SUFFIX 3c. MAILING ADDRESS CITY STATE POSTAL CODE OUNTRY One South Wacker Drive, Suite 1500 Chicago IL 60606 USA 4. This FINANCING STATEMENT covers the following collaterall: NE —Hall County Accounts receivable, contract rights, general intangibles, inventory, trade, store and other fixtures and all supplies, equipment and other tangible personal property and leasehold improvements with respect to the Locations of Collateral described on Schedule X attached hereto, and any of the foregoing which is or might become fixtures on the real estate described on Schedule Y attached hereto, all as more fully described on Schedule X attached hereto. 5. ALTERNATIVE DESIGNATIION if applicable: LESSEE /LESSOR CONSIGNEE /CONSIGNOR BAILEE /BAILOF SELLER /BUYER AG LIEN NON -UCC FILING g. his I is to i e l or record or records) in the 7. Check to REQUEST SEARCH REPORT(S) on Debtor(S) ESTATE RECORDS Attach addendum if applicable) II Debtor Debtor Ili Debtor 2 S. OPTIONAL FILER REFERENCE DATA FILING OFFICER COPY- NATIONAL UCC FINANCING STATEMENT (FORM L1CC1) (REV. 07/29/98) LexisNexis Document Solutions