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201903640
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6/24/2019 12:38:07 PM
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6/24/2019 12:38:06 PM
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201903640
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•INANCING STATEMENT <br />INSTRUCTIONS <br />& PHONE OF CONTACT AT FILER (optional) <br />' 1-800-858-5294 <br />L CONTACT AT FILER (optional) <br />ZFiling@cscglobal.com <br />mlimmowtt_ ACKNOWLEDGMENT TO: (Name and Address) <br />o / 52613 <br />CSC, Box 24fts <br />894-Adlai�levensvn-6rive <br />Springfield, IL 627$3- (O 2708- 2,149 <br />L <br />Filed In: Nebraska <br />(Hall) <br />cn <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 ci and provide the Individual Debtor information in item 10 of the Financing Statement Addendum (Form UCC1Ad) <br />la. ORGANIZATION'S NAME <br />VF( <br />1b. INDIVIDUALS SURNAME <br />PANOWICZ <br />FIRST PERSONAL NAME <br />MICHAEL <br />ADDITIONAL NAME(S)/INITIAL(S) <br />A <br />SUFFIX <br />lc. MAILING ADDRESS 10288 W WHITE CLOUD RD <br />CITY <br />CAIRO <br />STATE <br />NE <br />POSTAL CODE <br />68824 <br />COUNTRY <br />USA <br />2. DEBTORS 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 />2a ORGANIZATIONS NAME <br />VH <br />2b. INDIVIDUALS 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 one Secured Party name (3a or 3b) <br />3a. ORGANIZATION'S NAME DIVERSIFIED FINANCIAL SERVICES, LLC <br />VK <br />3b. INDIVIDUALS 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 />- 4.18758119 06?3 EsgiMOntgEtVITigOVIit2 PIVOT 1287 <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 />ElPublic -Finance Transaction 0 Manufactured -Home Transaction A Debtor is a Transmitting Utility <br />6b. Check only if applicable and check only one box: <br />❑ Agricultural Lien 0 Non -UCC Filing <br />7. ALTERNATIVE DESIGNATION (if applicable): Lessee/Lessor ❑ Consignee/Consignor 0 Seller/Buyer ❑ Bailee/Bailor Licensee/Licensor <br />8. OPTIONAL FILER REFERENCE DATA: :109963-002 STOLTENBERG <br />1657 52613 <br />FILING OFFICE COPY — UCC FINANCING STATEMENT (Form UCC1) (Rev. 04/20/11) <br />
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