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201901490
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Last modified
3/15/2019 11:16:26 AM
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3/15/2019 11:16:26 AM
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201901490
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06176061.0Z <br />NANCING STATEMENT <br />ISTRUCTIONS <br />PHONE OF CONTACT AT FILER (optional) <br />1-800-858-5294 <br />CONTACT AT FILER (optional) <br />riling@cscglobal.com <br />iCKNOWLEDGMENT TO: (Name and Address) <br />)3519 <br />CSC <br />Po e=04., g(09 <br />Springfield, IL 6,2493 to;a-107 <br />-a� q <br />Filed In: Nebraska <br />(Hall) <br />(n <br />271 7c <br />rrI „: ) <br />(f) —1 <br />—1 <br />rn <br />7 O <br />r; LJ <br />r7, <br />Cc) <br />CJ:: <br />_3 <br />1--► <br />rT1 <br />CD <br />N) <br />CD <br />1-4 <br />CLD <br />CD <br />1--4 <br />S <br />CD <br />0 <br />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 • U <br />name will not fit in line 1b, 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 />THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY <br />OR <br />la. ORGANIZATION'S NAME <br />1b. INDIVIDUAL'S SURNAME <br />SPIEHS <br />FIRST PERSONAL NAME <br />DAVID <br />ADDITIONAL NAME(S)/INITIAL(S) <br />L <br />SUFFIX <br />lc. MAILING ADDRESS 1260 N NEBRASKA HWY 11 <br />CITY <br />WOOD RIVER <br />STATE <br />NE <br />POSTAL CODE <br />68883 <br />COUNTRY <br />USA <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 fl and provide the Individual Debtor information in item 10 of the Financing Statement Addendum (Form UCC1Ad) <br />OR <br />2a. ORGANIZATIONS NAME <br />2b. INDIVIDUAL'S SURNAME <br />FIRST PERSONAL NAME <br />ADDITIONAL NAME(S)/INITIAL(S) <br />SUFFIX <br />2c. MAILING ADDRESS <br />CITY <br />STATE <br />POSTAL CODE <br />COUNTRY <br />3. SECURED PARTY'S NAME (or NAME of ASSIGNEE of ASSIGNOR SECURED PARTY): Provide only 40g Secured Party name (3a or 3b) <br />OR <br />3a ORGANIZATIONS 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 />— 4.1 aWM12i !IONS?La800n0 VALLEY /ngreAVR PIVOT 1296' <br />5. Check only if applicable and check only one box: Collateral is ❑ held in a Trust (see UCC1Ad, item 17 and Instructions) El being administered by a Decedent's Personal Representative <br />6a. Check only if applicable and check only one box: <br />❑ Public -Finance Transaction El Manufactured -Home Transaction El A Debtor is a Transmitting Utility <br />6b. Check only if applicable and check only one box: <br />❑ Agricultural Lien ill Non -UCC Filing <br />7. ALTERNATIVE DESIGNATION (if applicable): FA Lessee/Lessor Consignee/Consignor El Seller/Buyer Bailee/Bailor Licensee/Licensor <br />8. OPTIONAL FILER REFERENCE DATA: :164728-006 STOLTENBERG <br />1605 03519 <br />FILING OFFICE COPY — UCC FINANCING STATEMENT (Form UCC1) (Rev. 04/20/11) <br />
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