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= <br />,I,VN1S V 'I'V <br />UCC FINANCING STATEMENT <br />FOLLOW INSTRUCTIONS <br />A. NAME & PHONE OF CONTACT AT FILER (optional) <br />Michael F. Kivett (402) 330-6300 <br />B. E-MAIL CONTACT AT FILER (optional) <br />MFKivett@womglaw.com <br />C. SEND ACKNOWLEDGMENT TO: (Name and Address) <br />Michael F. Kivett <br />Walentine O'Toole, LLP <br />11240 Davenport Street <br />Omaha, NE 68154-0125 <br />L <br />J <br />—1 rn <br />(5 <br />-Ti <br />—tU T-> CD <br />r 2'y <br />c,> <br />0) <br />THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY <br />1. DEBTORS NAME: Provide only am Debtor name (1a or Ib) (use exact, full name; do not omit, modify, or abbreviate any pert of the Debtor's name); If any part of the Individual Debtor's <br />name will not fit In Ilne 1b, leave all of Item 1 blank, check here ID and provide the Individual Debtor information In Item 10 of the Financing Statement Addendum (Form UCC1Ad) , <br />la. ORGANIZATION'S NAME <br />Grand Island Hotel, LLC <br />OR <br />lb. INDIVIDUAL'S SURNAME <br />FIRST PERSONAL NAME <br />ADDITIONAL NAME(S)/INITIAL(S) <br />SUFFIX <br />lc. MAILING ADDRESS <br />9909 Hollow Tree Drive <br />CITY <br />Lincoln <br />STATE <br />NE <br />POSTAL CODE <br />68512 <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 Indlvldual Debtor's <br />name will not fit in Ilne 2b, leave all of Item 2 blank, check here 0 and provide the Individual Debtor Information In Item 10 of the Flnancing Statement Addendum (Form UCC1Ad) <br />2a. ORGANIZATION'S NAME <br />OR <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 nae Secured Party name (3a or 3b) <br />3e. ORGANIZATION'S NAME <br />• Pinnacle Bank <br />OR <br />3b. INDIVIDUAL'S SURNAME <br />FIRST PERSONAL NAME <br />ADDITIONAL NAME(S)/INITIAL(S) <br />SUFFIX <br />3c. MAILING ADDRESS <br />3610 W. Capital Ave <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 />Those items of collateral described in Exhibit "A" attached hereto, some of which are or may become fixtures on the real <br />property described in Exhibit "B" attached hereto. <br />6. Check wig If applicable and check pn1y one box: Collateral Is Q held In a Trust (see UCCIAd, Item 17 and Instructions) 0 being administered by a Decedent's Personal Representative <br />6a. Check galy If applicable and check only one box; 6b. Check gnly If applicable and check gpty one box: <br />0 Public -Finance Transactlon 0 Manufactured -Home Transaction ❑ A Debtor Is a Transmitting Utility 0 Agricultural Lien El Non -UCC Filing <br />7. ALTERNATIVE DESIGNATION (If applicable): 0 Lessee/Lessor 0 Consignee/Consignor Et Seller/Buyer 0 Bailee/Bailor ❑ Licensee/Licensor <br />B. OPTIONAL FILER REFERENCE DATA: <br />FILING OFFICE COPY — UCC FINANCING STATEMENT (Form UCC1) (Rev. 04/20/11) <br />International Association of Commerclal Administrators (IACA) <br />