Laserfiche WebLink
OR <br />la. ORGANIZATION'S NAME <br />lb. INDIVIDUAL'S SURNAME <br />DIBBERN <br />FIRST PERSONAL NAME <br />JERRY <br />ADDITIONAL NAME(S) /INITIAL(S) <br />R <br />SUFFIX <br />1c. MAILING ADDRESS 15700 W SCHIMMER DR <br />CITY <br />WOOD RIVER <br />STATE <br />NE <br />POSTAL CODE <br />68883 <br />COUNTRY <br />USA <br />OR <br />2a. ORGANIZATION'S NAME <br />2b. INDIVIDUAL'S SURNAME <br />DIBBERN <br />FIRST PERSONAL NAME <br />VERNA <br />ADDITIONAL NAME(S) /INITIAL(S) <br />F <br />SUFFIX <br />2c. MAILING ADDRESS 15700 W SCHIMMER DR <br />CITY <br />WOOD RIVER <br />STATE <br />NE <br />POSTAL CODE <br />68883 <br />COUNTRY <br />USA <br />OR <br />3a. ORGANIZATION'S NAME DIVERSIFIED FINANCIAL SERVICES, LLC <br />3b. INDIVIDUAL'S SURNAME <br />FIRST PERSONAL NAME <br />ADDITIONAL NAME(S) /INITIAL(S) <br />SUFFIX <br />3c. MAILING ADDRESS 14010 FNB PARKWAY STE 400 <br />CITY <br />OMAHA <br />STATE <br />NE <br />POSTAL CODE <br />68154 <br />COUNTRY <br />USA <br />N <br />0 <br />0 <br />N <br />INANCING STATEMENT <br />INSTRUCTIONS <br />& PHONE OF CONTACT AT FILER (optional) <br />1oration Service Company 1- 800 - 858 -5294 <br />CONTACT AT FILER (optional) <br />filing@cscinfo.com <br />ACKNOWLEDGMENT TO: (Name and Address) <br />i46490 <br />L I' <br />Corporation Service Company <br />Springfield, IL 6279& 6c Filed In: Nebraska <br />( Hall ) <br />rn n n <br />- = a <br />rn <br />C _ <br />z <br />rn <br />v,•• <br />11 <br />THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY <br />1. DEBTOR'S NAME: Provide only QDB Debtor name (1a or lb) (use exact, full name: do not omit, modify, or abbreviate any part of the Debtor's name); if any part of the Individual Debtor's <br />name will not fit in line lb, leave all of item 1 blank, check here ❑ and provide the Individual Debtor information in item 10 of the Financing Statement Addendum (Form UCC1Ad) <br />2. DEBTOR'S NAME: Provide only one Debtor name (2a or 2b) (use exact, full name; do not omit, modify, or abbreviate any part of the Debtor's name); if any part of the Individual Debtor's <br />name will not fit in line 2b, leave all of item 2 blank, check here rj and provide the Individual Debtor information in item 10 of the Financing Statement Addendum (Form UCC1Ad) <br />3. SECURED PARTY'S NAME (or NAME of ASSIGNEE of ASSIGNOR SECURED PARTY): Provide only gm Secured Party name (3a or 3b) <br />- 4. 1 W LZ Ili 6?3g.sggn AATitGi1 1 1 300' 7 -TOWER <br />5. Check Qppt if applicable and check mix one box: Collateral is El held in a Trust (see UCCIAd, item 17 and Instructions) being administered by a Decedent's Personal Representative <br />6a. Check QOIy if applicable and check Qgly one box: 6b. Check only if applicable and check g6(y one box: <br />0 Public- Finance Transaction Q Manufactured -Home Transaction ❑ A Debtor is a Transmitting Utility ❑ Agricultural Lien D Non -UCC Filing <br />7. ALTERNATIVE DESIGNATION (if applicable): p Lessee /Lessor D Consignee /Consignor Seller /Buyer El Bailee/Bailor El Licensee /Licensor <br />8. OPTIONAL FILER REFERENCE DATA: :FIXTURE FILING 130936 -002 <br />FILING OFFICE COPY — UCC FINANCING STATEMENT (Form UCC1) (Rev. 04/20/11) <br />r, <br />N <br />I- <br />w <br />c-n <br />I— <br />rn <br />Gh <br />Corporation Service Company <br />2711 Centerville Rd, Ste. 400 <br />Wilmington, DE 19808 <br />1406 46490 <br />