202006005 - Laserfiche WebLink

Browse

N� 0 :INANCING STATEMENT �— (INSTRUCTIONS E & PHONE OF CONTACT AT FILER (optional) 1-800-858-5294 IL CONTACT AT FILER (optional) RFiling@cscglobal.com ACKNOWLEDGMENT TO: (Name and Address) i1 50785 CSC Springfield, IL 62708-2`i It 9 L Filed In: Nebraska (Hall) I nn N n� CI) Cn G> c-_ CD CO I—. CD THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY !U CD tN CD CD CD Cn 1. DEBTOR'S NAME: Provide only mg 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 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) la. ORGANIZATION'S NAME "'N lb. INDIVIDUAL'S SURNAME HARDERS FIRST PERSONAL NAME GARY ADDITIONAL NAME(S)/INITIAL(S) E SUFFIX 1c. MAILING ADDRESS 362 S BURWICK RD CITY WOOD RIVER STATE NE POSTAL CODE 68883 COUNTRY USA 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 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) OR 2a. ORGANIZATION'S NAME 2b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX 2c. MAILING ADDRESS CITY STATE POSTAL CODE COUNTRY 3. SECURED PARTY'S NAME (or NAME of ASSIGNEE of ASSIGNOR SECURED PARTY): Provide only gae Secured Party name (3a or 3b OR 3a. ORGANIZATION'S NAME DIVERSIFIED FINANCIAL SERVICES, LLC 3b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX 3c. MAILING ADDRESS 14010 FNB PARKWAY STE 400 CITY OMAHA STATE NE POSTAL CODE 68154 COUNTRY USA — 4.1 Vni0 is5? 'QLS 65OMLI Ywisti I eLINED PIVOT 8 -TOWER 1209' 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 6a. Check only if applicable and check only one box: 6b. Check only if applicable and check only one box: Public -Finance Transaction Manufactured -Home Transaction [] A Debtor is a Transmitting Utility ❑ Agricultural Lien ❑ Non -UCC Filing 7. ALTERNATIVE DESIGNATION (if applicable): Lessee/Lessor ❑ Consignee/Consignor 8. OPTIONAL FILER REFERENCE DATA: :178932-003 STOLTENBERG ❑ Seller/Buyer ElBailee/Bailor ❑ Licensee/Licensor 1961 50785 FILING OFFICE COPY — UCC FINANCING STATEMENT (Form UCC1) (Rev. 04/20/11)