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e� <br />-N1 NANCING STATEMENT <br />ISTRUCTIONS <br />Cam PHONE OF CONTACT AT FILER (optional) <br />1-800-858-5294 <br />CONTACT AT FILER (optional) <br />iling@cscglobal.com <br />ACKNOWLEDGMENT TO: (Name and Address) <br />23445 <br />CSC <br />801 Adlai Stevenson Drive <br />Springfield, IL 62703 <br />L <br />Filed In: Nebraska <br />(Hall) <br />cc) <br />1, <br />z <br />. 1 <br />✓ n <br />73 <br />ry rrl <br />CPry <br />N) a <br />(--)- -4 tel <br />CD `i CD <br />CO <br />F—' < I'• N N <br />o CD "'I <br />. (T1 X) <br />:) 2> G'7 C= C <br />r' <br />1—+ rn <br />~' 1 , —z —1 <br />CD CA) Z <br />CD <br />THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY <br />DEBTORS NAME: Provide only ono Debtor name (18 or lb) (use exact, full name; do not omit, modify, or abbreviate any part of the Debtors name); if any part of the Individual Debtors <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 />1b. INDIVIDUAL'S SURNAME <br />LOSEE <br />FIRST PERSONAL NAME <br />RODNEY <br />ADDITIONAL NAME(S)/INITIAL(S) <br />A <br />SUFFIX <br />lc. MAILING ADDRESS 113 E BROOKLYN AVE <br />CITY <br />DONIPHAN <br />STATE <br />NE <br />POSTAL CODE <br />68832 <br />COUNTRY <br />USA <br />2. DEBTOR'S NAME: Provide only gna Debtor name (28 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 hem 10 of the Financing Statement Addendum (Form UCC1Ad) <br />OR <br />2a. ORGANIZATION'S NAME <br />2b. INDIVIDUAL'S SURNAME <br />LOSEE <br />FIRST PERSONAL NAME <br />DEBRA <br />ADDITIONAL NAME(S)/INITIAL(S) <br />M <br />SUFFIX <br />2c. MAILING ADDRESS 113 E BROOKLYN AVE <br />CITY <br />DONIPHAN <br />STATE <br />NE <br />POSTAL CODE <br />68832 <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 />3a. ORGANIZATION'S NAME Foundation Finance Company LLC <br />VII <br />3b. INDIVIDUAL'S SURNAME <br />FIRST PERSONAL NAME <br />ADDITIONAL NAME(S)/INITIAL(S) <br />SUFFIX <br />3c. MAILING ADDRESS 10101 Market Street Suite B100 <br />CITY <br />Rothschild <br />STATE <br />WI <br />POSTAL CODE <br />54474 <br />COUNTRY <br />USA <br />4A: <br />INi IH regbemvors VMtngcollateral: <br />RODNEY A LOSEE <br />DEBRA M LOSEE <br />113 E BROOKLYN AVE <br />DONIPHAN NE 68832 <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: 6b. Check only if applicable and check Day one box: <br />0 Public -Finance Transaction 0 Manufactured -Home Transaction El A Debtor is a Transmitting Utility 0 Agricultural Lien <br />7. ALTERNATIVE DESIGNATION (if applicable): El Lessee/Lessor ❑ Consignee/Consignor 0 Seller/Buyer Bailee/Ballor <br />8. OPTIONAL FILER REFERENCE DATA::70046476 / 60232027 <br />0 Non -UCC Filing <br />0 Licensee/Licensor <br />2027 23445 <br />FILING OFFICE COPY — UCC FINANCING STATEMENT (Form UCC1) (Rev. 04/20/11) <br />