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UK 1b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S) /INITIAL(S) SUFFIX lc. MAILING ADDRESS 1002 6th St SW CITY Orange City STATE IA POSTAL CODE 51041 COUNTRY OH 2b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S) /INITIAL(S) SUFFIX `: 2c. MAILING ADDRESS CITY STATE POSTAL CODE COUNTRY OR 3b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX 3c. MAILING ADDRESS Po Box 329 CITY Sheldon STATE IA POSTAL CODE 51201 COUNTRY — OD OD 1ANCING STATEMENT STRUCTIONS PHONE OF CONTACT AT FILER (optional) ;tellinga, 712- 324 -8370 :ONTACT AT FILER (optional) tellinga @iowastateban k.net :KNOWLEDGMENT TO: (Name and Address) to WA STATE BANK N /00 BOX 329 SHELDON IA 51201 L la. ORGANIZATION'S NAME Grand Island PR, INC I et en N rn THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY 1. DEBTOR'S NAME: Provide only one Debtor name (la or 1b) (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 namo will not fit in l:r,e lb, leave all of item 1 blank, check here n and provide the Individual Debtor information in item 10 of the Financing Statement Addendum (Form LICC1A(1) 2. DEBTOR'S NAME: Provide only g0g Debtor name (2a or 2b) (use exact, full name; do not omit, modify, or abbreviate any part of he Debtor's name); if any part of the Individual Debtor's name will not fit in line 2b, leave all of item 2 blank, check here ❑ and provide the Individual Debtor information in item 10 of the Financing Statement Addendum (Form.UCC1Ad) 2a. ORGANIZATION'S NAME 3. SECURED PARTY'S NAME (or NAME of ASSIGNEE of ASSIGNOR SECURED PARTY): Provide only gra Secured Party name (3a or 3b) 3a. ORGANIZATION'S NAME Iowa State Bank 4. COLLATERAL: This financing statement covers the following collateral: All fixtures located at 3537 W 13th St Ste 123 and 124 Grand Island NE 68801 5. Check only if applicable and check only one box: Collateral is 0 held in a Trust (see UCC1Ad, item 17 and Instructions) 0 being administered by a Decedent's Personal Pepresentative 6a. Check only if applicable and check gnly one box: 6b. Check g.01y if applicable and check only one box: 0 Public-Finance Transaction 0 Manufactured -Home Transaction 0 A Debtor is a Transmitting Utility ❑ Agricultural Lien 0 Non -UCC Filing 7. ALTERNATIVE DESIGNATION (if applicable): Lessee /Lessor fl Consignee /Consignor 0 Seller /Buyer Bailee /Bailor 0 Licensee /Licensor 8. OPTIONAL FILER REFERENCE DATA: FILING OFFICE COPY— UCC FINANCING STATEMENT (Form UCC1) (Rev. 04/20/11) International Association of Commercial Administrators (IACA)