|
tllit�lttttt�
<br />INANCING STATEMENT
<br />NSTRUCTIONS
<br />& PHONE OF CONTACT AT FILER (optional)
<br />iii
<br />CONTACT AT FILER (optional)
<br />ACKNOWLEDGMENT TO: (Name and Address)
<br />Fidelity State Bank and Trust Co., Topeka, KS
<br />600 S Kansas Ave
<br />P.O. Box 1737
<br />[Topeka, KS 66601-1737
<br />1
<br />_r
<br />la
<br />THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY
<br />1. DEBTOR'S NAME: Provice 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 lb, 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 />la. ORGANIZATION'S NAME
<br />Midway Sales & Distributing, Inc.
<br />urc
<br />1b. INDIVIDUALS SURNAME
<br />FIRST PERSONAL NAME
<br />ADDITIONAL NAME(S)/INITIAL(S)
<br />SUFFIX
<br />lc. MAILING ADDRESS
<br />P.O. Box 1246
<br />CITY
<br />Topeka
<br />STATE
<br />KS
<br />POSTAL CODE
<br />66601
<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 Debtors
<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 />OR
<br />2a ORGANIZATION'S 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 />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 />Fidelity State Bank and Trust Co., Topeka, KS
<br />3b INDIVIDUAL'S SURNAME
<br />FIRST PERSONAL NAME
<br />ADDITIONAL NAME(S)/INITIAL(S)
<br />SUFFIX
<br />3c. MAILING ADDRESS
<br />600 S Kansas Ave, P.O. Box 1737
<br />CITY
<br />Topeka
<br />STATE
<br />KS
<br />POSTAL CODE
<br />66601-1737
<br />COUNTRY
<br />USA
<br />4. COLLATERAL: This financing statement covers the following collateral:
<br />All Chattel Paper, Furniture and Fixtures, Equipment and General Intangibles of Midway Sales & Distributing, Inc., including but not limited to
<br />attached Exhibit A; whether any of the foregoing is owned now or acquired later; all accessions, additions, replacements, and substitutions
<br />relating to any of the foregoing; all records of any kind relating to any of the foregoing; all proceeds relating to any of the foregoing (including
<br />insurance, general intangibles and other accounts proceeds) including but not limited to collateral located at the following locations: 218 SE
<br />Branner St., Topeka, KS 66607; 228 SE Branner St., Topeka, KS 66607; 1000 SE Second St., Topeka, KS 66607; 1001 SE Second St. Topeka, KS
<br />66607; 1300 SE Second Street, Topeka, KS 66607; 1027 York Ave., Salina, KS 67401; 2711 Oregon St., Lawrence, KS 66046; 8208 South Port
<br />Drive, Manhattan, KS 66502; 8216 South Port Drive, Manhattan, KS 66502; 215 South 15th St., Elwood, KS 66024; 4501 Merriam Dr., Overland
<br />Park, KS 66203; 301 S Maiden Lane, Joplin, MO 64801; 4308 Southwest Boulevard, Wichita, KS 67215; 4319 Juergen Road, Grand Island, NE
<br />68801; 685 Airlinks, Garden City, KS 67846; and 5002 S 169 Hwy., Ste. B, St. Joseph, MO 64507;
<br />(Continued on attached Financing Statement Addendum)
<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 Decedents Personal Representative
<br />6a. Check gni y if applicable and check only one box:
<br />❑ Public -Finance Transaction ❑ Manufactured -Home Transaction
<br />❑ A Debtor is a Transmitting Utility
<br />6b. Check only if applicable and check Qnty one box:
<br />❑ Agricultural Lien ❑ Non -UCC Filing
<br />❑ Licensee/Licensor
<br />7. ALTERNATIVE DESIGNATION (if applicable): ❑ Lessee/Lessor ❑ Consignee/Consignor
<br />8. OPTIONAL FILER REFERENCE DATA:
<br />❑ Seller/Buyer ❑ Bailee/Bailor
<br />ACKNOWLEDGMENT COPY — UCC FINANCING STATEMENT (Form UCC1) (Rev. 04/20/11)
<br />Finastra
<br />1320 SW Broadway, Suite 100, Portland, OR
<br />
|