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70 <br />Itttttttt�� m <br />-nC <br />1C1NG STATEMENT rrnn D vlvl <br />0 2UCTIONS n <br />v — <br />DNE OF CONTACT AT FILER [optional) <br />KISSELBURG, ESQ. (612-607-7315) <br />eaaaeaaa�� ITACTAT FILER (optional) <br />,BURG@OPPENHEIMER.COM <br />IOWLEDGMENT TO: (Name and Address) J <br />KISSELBURG, ESQ. r <br />EIMER WOLFF treNNELLY LLPCAMPBELL MITHUN TO, SUITE 2000 <br />"222 SOUTH NINTH STRUT C T pen e) a o�� <br />MINNEAPOLIS, MN 155402-3338 G. t e ykd , C+1 41249 <br />nn <br />a <br />nCl <br />` 1. DEBTOR'S NAME Provide only one Debtor name (1a or 1b) (use exact, full name; do not omit, modify, or abbreviate any part of the Debtors name); if any part of the Individual Debtors name <br />will not fil in line lb, leave all of Item 1 blank check here CI and provide the Individual Debtor information in item 10 of the Financing Statement Addendum (Form UCC1Ad) <br />1 a. ORGANIZATION'S NAME <br />LUTHERAN HOMES, INC. <br />OR <br />lb. INDIVIDUAL'S SURNAME <br />FIRST PERSONAL NAME <br />ADDITIONAL NAME(S)IINITIAL(S) <br />SUFFIX <br />1c. MAILING ADDRESS <br />2807 WEST FAIDLEY AVENUE <br />CITY <br />GRAND ISLAND <br />STATE <br />NE <br />POSTAL <br />CODE <br />68803 <br />COUNTRY <br />USA <br />2. DEBTOR'S NAME Provide only grk� 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 Debtors name <br />will not fit in line 2b, leave all of item 2 blank, check here CI and provide the Individual Debtor information in item 10 of the Financing Statement Addendum (Form UCC1Ad) <br />2a. ORGANIZATION'S NAME <br />OR <br />StGUKtU f'AK 1 T'S NAME (or NAME of ASSIGNEE of ASSIGNOR SECURED PARTY): Provide only one Seckued Party name (3a or <br />OR <br />lb. INDIVIDUAL'S SURNAME <br />FIRST PERSONAL NAME <br />ADDITIONAL NAME(SWINITLAL(S) <br />SUFFIX <br />2c MAILING ADDRESS <br />CITY <br />STATE <br />POSTAL <br />CODE <br />COUNTRY <br />StGUKtU f'AK 1 T'S NAME (or NAME of ASSIGNEE of ASSIGNOR SECURED PARTY): Provide only one Seckued Party name (3a or <br />OR <br />3a. ORGANIZATION'S NAME <br />LANCASTER POLLARD MORTGAGE COMPANY, LLC <br />lb. INDIVIDUAL'S SURNAME <br />FIRST PERSONAL NAME <br />ADDITIONAL <br />NAME(S)/INITUL(S) <br />SUFFIX <br />3C. MAILING ADDRESS <br />ATTN: MORTGAGE SERVICING, 65 E. STATE ST., 16TH FLOOR <br />CITY <br />COLUMBUS <br />STATE <br />011 <br />POSTAL <br />CODE <br />43215 <br />COUNTRY <br />USA <br />4. COLLATERAL: This financing statement covers the following collateral: <br />SEE EXHIBIT A ATTACHED HERETO FOR A DESCRIPTION OF THE REAL ESTATE TO <br />WHICH CERTAIN OF THE COLLATERAL RELATES. <br />SEE EXHIBIT B ATTACHED HERETO FOR A DESCRIPTION OF THE COLLATERAL. CERTAIN <br />OF THE GOODS DESCRIBED IN EXHIBIT B ARE, OR ARE TO BECOME, FIXTURES ON THE <br />REAL ESTATE DESCRIBED IN EXHIBIT A, AND THIS FINANCING STATEMENT IS TO BE <br />FILED FOR RECORD IN THE REAL ESTATE RECORDS. <br />6a. Check only if applicable and check oral one box: <br />Publit.Finance Transaction • Manufactured -Home Transaction <br />7. ALTERNATIVE DESIGNATION (if applicable) <br />8. OPTIONAL FILER REFERENCE DATA: <br />FILE NO. 24551/12 (CHRYSALIS) HALL COUNTY RECORDER <br />A Debtor is a Transmitting Utility <br />Lesee/Lessor <br />Consignee/Consignor <br />6b. Check only if applicable and check on one bore <br />Agricultural Lien <br />Non -UCC Filing <br />Seller/Buyer <br />Bailee/Bailor <br />International Association of Commercial Administrators (IACA) <br />FILING OFFICE COPY — NATIONAL UCC FINANCING STATEMENT (FORM'UCC1) (REV. 04/20111) <br />