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'HONE OF CONTACT AT FILER (optional) <br />(800) 331-3282 Fax: (818) 662 -4141 <br />OR <br />OR <br />OR <br />L <br />la. INITIAL FINANCING STATEMENT FILE NUMBER <br />0200709153 10/25/2007 CC NE Hall County Register of Deeds <br />7c. MAILING ADDRESS <br />10. OPTIO <br />6283530 <br />IANCING STATEMENT AMENDMENT <br />STRUCTIONS <br />ONTACT AT FILER (optional) <br />rLS_Glendale_ Customer _Service @wolterskluwer.com <br />KNOWLEDGMENT TO: (Name and Address) 10011 - BANK OF <br />Solutions <br />P.O. Box 29071 <br />Glendale, CA 91209 -9071 <br />62835301 - 1 <br />NENE <br />FIXTURE <br />File with: Hall County Register of Deeds, NE <br />5. ❑ PARTY INFORMATION CHANGE: <br />Check o e of these two boxes: <br />This Change affects 1 Debtor or Secured Party of record <br />6. CURRENT RECORD INFORMATION: Complete for Party Information Change - provide only one name (6a or 6b) <br />7a. ORGANIZATION'S NAME <br />7b. INDIVIDUAL'S SURNAME <br />INDNIDUAL'S FIRST PERSONAL NAME <br />INDIVIDUAL'S ADDITIONAL NAME(SyINITIAL(S) <br />CITY <br />FILING • FICE COPY — UCC FINANCING STATEMENT AMENDMENT (Form UCC3) (Rev. 04/20/11) <br />r <br />Co <br />t7 <br />STATE <br />* L7 <br />3. ❑ ASSIGNMENT (full or partial): Provide name of Assignee in item 7a or 7b, and address of Assignee in item 7c and name of Assignor in item 9 <br />For partial assignment, complete items 7 and 9 and also indicate affected collateral in item 8 <br />N <br />POSTAL CODE <br />THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY <br />1b. El 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 />2. TERMINATION: Effectiveness of the Financing Statement identified above is terminated with respect to the security interest(s) of Secured Party authorizing this Termination <br />Statement <br />•. 4. Q 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 />AND Check one of these three boxes to: <br />CHANGE name and /or address: Complete ADD name: Complete item DELETE name: Give record name <br />Li item 6a or 6b; and item 7a or 7b and item 7c n 7a or 7b, and item 7c LI to be deleted in item 6a or 6b <br />6a. ORGANIZATION'S NAME <br />GRAND ISLAND HEALTH CARE INC <br />6b. INDIVIDUALS SURNAME <br />FIRST PERSONAL NAME <br />ADDMONAL NAME(S)IINITIAL(S) <br />7. CHANGED OR ADDED INFORMATION: Complete for Assignment or Party Information Change - provide onty one name (7a or 7b) (use exact, full name; do not omit, modify, or abbreviate any part of the Debtors name) <br />9. NAME • SECURED PARTY of RECORD AUTHORIZING THIS AMENDMENT: Provide only one name (9a or 9b) (name of Assignor, if this is an Assignment) <br />If <br />SUFFIX <br />SUFFIX <br />8• ❑ COLLATERAL CHANGE: Also check one of these four boxes: ❑ADD collateral ❑ DELETE collateral ❑ RESTATE covered collateral ❑ ASSIGN collateral <br />Indicate collateral: <br />9a <br />Ba <br />this is Amendment authorized by a DEBTOR, check here n and provide name of authorizing Debtor <br />9b. IN ri <br />NATION'S NAME <br />of America, N.A. <br />IDUAL'S SURNAME <br />FIRST PERSONAL NAME <br />FILER REFERENCE DATA: Debtor Narne: GRAND ISLAND HEALTH CARE INC <br />ADDITIONAL NAME(SYINITIAL(S) <br />SUFFIX <br />Prepared by Lien Solutions, P.O. Box 29071, <br />Glendale, CA 91209-9071 Tel (800) 331 -3282 <br />IMMINMIB <br />COUNTRY <br />