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202010131 202003757 UCC FINANCING STATEMENT ADDENDUM FOLLOW INSTRUCTIONS 9. NAME OF FIRST DEBTOR: Some as line 1a or lb on Financing Statement if line tb was left blank because Individual Debtor name did not f4 check here i l ,`. 59a. ORGANIZATION'S NAME OR 9b INDIVIDUAL'S SURNAME CLARK DALE THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY 10. DEBTOR'S NAME Provide (10a or 10b) only 2m additional Debtor name or Debtor name that cid not 8t in fine 1b or 21b of the Financing Statement (Form UCC1) (ose axed, full name, — do not omiL modify, or abbreviate any part of the Debtors name) and enter the mating address In line 10c 10a. ORGANIZATIONS NAME OR 10b. INDIVIDUAL'S SURNAME INDIVIDUAL'S FIRST PERSONAL NAME INDIVIDUALS ADDITIONAL NAME(S)IINITIAL(S) SUFFIX 10C. MAILING ADDRESS CITY STATE I POSTAL CODE COUNTRY 11. ❑ ADDITIONAL SECURED PARTY'S NAME Qt ❑ ASSIGNOR SECURED PARTY'S NAME: Provide only me name (11a or 11b) 11 a. ORGANIZATIONS NAME OR 11 b. INDIVIDUALS SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)IINITIAL(S) SUFFIX 11c MAILING ADDRESS CITY STATE POSTAL CODE COUNTRY 12. ADDITIONAL SPACE FOR ITEM 4 (Collateral): 2104 S AUGUST GRAND ISLAND, NE 68801 — THIS FILING IS MADE FOR NOTICE PURPOSES ONLY. THE DEBTOR HAS NO OWNERSHIP RIGHTS IN THE COLLATERAL. THE DEBTOR IS LEASING THE COLLATERAL. 13. m This FINANCING STATEMENT is to be filed [for record) (or recorded) in the 14. This FINANCING STATEMENT: REAL ESTATE RECORDS (fi applicable) covers timber to be cul ❑ cwxc as -extracted collateral is filed as a fuduro filing 15. (Name and address of a RECORD OWNER of real estate described in Item 18 16. Description of real estate: DA" DW d�oesp t have a record interest): SEE EXHIBIT 1 2104 S AUGUST GRAND ISLAND, NE 68801 17. MISCELLANEOUS: SEE EXHIBIT 1 FILING OFFICE COPY— UCC FINANCING STATEMENT ADDENDUM (Form UCC1Ad) (Rev. 04120/11)