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JANCING STATEMENT <br />6� STRUCTIONS <br />• <br />rn <br />c <br />z <br />0 <br />N <br />PHONE OF CONTACT AT FILER (optional) <br />;ONTACT AT FILER (optional) <br />:KNOWLEDGMENT TO: (Name and Address) <br />AT WESTERN BANK <br />700 N Webb Rd <br />Grand Island, NE 68803 <br />L <br />YA, <br />173 <br />N <br />THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY <br />1. DEBTORS 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 <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 />OR <br />la. ORGANIZATION'S NAME <br />Mendez Enterprises, L.L.C. <br />lb. INDIVIDUAL'S SURNAME <br />FIRST PERSONAL NAME <br />ADDITIONAL NAME(S)/INITIAL(S) <br />SUFFIX <br />lc. MAILING ADDRESS <br />2414 Sherman Blvd <br />CITY <br />Grand Island <br />STATE <br />NE <br />POSTAL CODE <br />68803 <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 ❑ and provide the Individual Debtor information in item 10 of the Financing Statement Addendum (Form UCC1Ad) <br />to <br />0 <br />-- 4 <br />OR <br />2a. ORGANIZATION'S NAME <br />2b. INDIVIDUAL'S SURNAME <br />Mendez Jr. <br />FIRST PERSONAL NAME <br />Vincent <br />ADDITIONAL NAME(S)/INITIAL(S) <br />T. <br />SUFFIX <br />2c. MAILING ADDRESS <br />2414 N Sherman Blvd <br />CITY <br />Grand Island <br />STATE <br />NE <br />POSTAL CODE <br />68803 <br />COUNTRY <br />USA <br />3. SECURED PARTY'S NAME (or NAME of ASSIGNEE of ASSIGNOR SECURED PARTY): Provide only one Secured Party name (3a or 3b) <br />OR <br />3a ORGANIZATION'S NAME <br />GREAT WESTERN BANK <br />3b INDIVIDUAL'S SURNAME <br />FIRST PERSONAL NAME <br />ADDITIONAL NAME(S)/INITIAL(S) <br />SUFFIX <br />3c MAILING ADDRESS <br />700 N Webb Rd <br />CITY <br />Grand Island <br />STATE <br />NE <br />POSTAL CODE <br />68803 <br />COUNTRY <br />USA <br />4. COLLATERAL: This financing statement covers the following collateral. <br />COMMUNITY REDEVELOPMENT AUTHORITY FUNDS IN THE AMOUNT OF $100,000.00 FROM THE CITY OF GRAND ISLAND, NEBRASKA.; <br />whether any of the foregoing is owned now or acquired later; all accessions, additions, replacements, and substitutions relating to any of the <br />foregoing; all records of any kind relating to any of the foregoing. <br />5. Check only if applicable and check only, one box: Collateral is ❑ held in a Trust (see UCC1Ad, item 17 and Instructions) ❑ being administered by a Decedent's Personal Representative <br />6a. Check only if applicable and check only one box: <br />❑ Public -Finance Transaction ❑ Manufactured -Home Transaction <br />6b. Check only if applicable and check Qnly one box: <br />❑ A Debtor is a Transmitting Utility ❑ Agricultural Lien <br />7. ALTERNATIVE DESIGNATION (if applicable): ❑ Lessee/Lessor <br />8. OPTIONAL FILER REFERENCE DATA: <br />❑ Consignee/Consignor ❑ Seller/Buyer ❑ Bailee/Bailor <br />❑ Non -UCC Filing <br />❑ Licensee/Licensor <br />FILING OFFICE COPY — UCC FINANCING STATEMENT (Form UCC1) (Rev. 04/20/11) <br />Finastra <br />1320 SW Broadway, Suite 100, Portland, OR <br />