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202101490
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Last modified
2/23/2021 10:59:57 AM
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2/23/2021 10:59:57 AM
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202101490
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INANCING STATEMENT <br />NSTRUCTIONS <br />& PHONE OF CONTACT AT FILER (optional) <br />1-800-858-5294 <br />CONTACT AT FILER (optional) <br />iling@cscglobal.com <br />kOKNOWLEDGMENT TO: (Name and Address) <br />73452 <br />—0\A -/ <br />CSC PO cRcrcc / <br />Springfield, IL 62708— 24 leci <br />L <br />Filed In: Nebraska <br />(Hall) I <br />THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY <br />1. DEBTORS NAME: Provide only g0g Debtor name (1a 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 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) <br />OR <br />N <br />C] <br />O <br />C) <br />CD <br />1a. ORGANIZATION'S NAME DOUGLAS C. KRUEGER, L.L.C. <br />1b. INDIVIDUAL'S SURNAME <br />FIRST PERSONAL NAME <br />ADDITIONAL NAME(S)/INITIAL(S) <br />SUFFIX <br />1c. MAILING ADDRESS 120 MEADOWLARK CIRCLE <br />CITY <br />DONIPHAN <br />STATE <br />NE <br />POSTAL CODE <br />68832 <br />COUNTRY <br />USA <br />2. DEBTOR'S NAME: Provide only g0g Debtor name (2a or 2b) (use exact, full name; do not omit, modify, or abbreviate any part of the Debtors name); if any part of the Individual Debtor's <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 />OR <br />2a. ORGANIZATIONS NAME <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 2ne Secured Party name (38 or 3b) <br />OR <br />3a. ORGANIZATION'S NAME DIVERSIFIED FINANCIAL SERVICES, LLC <br />3b. INDIVIDUAL'S 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 />4.1cgmehi-r` tstEsitotaryw1pmeti OWER 1291' <br />5. Check gp)y if applicable and check only one box: Collateral is ❑ held in a Trust (see UCC1Ad, item 17 and Instructions) —r I I being administered by a Decedent's Personal Representative <br />6a. Check poly if applicable and check gay one box: 6b. Check mix if applicable and check gp(y one box: <br />❑ Public -Finance Transaction 0 Manufactured -Home Transaction 0 A Debtor is 8 Transmitting Utility 0 Agricultural Lien 0 Non -UCC Filing <br />7. ALTERNATIVE DESIGNATION (if applicable): 0 Lessee/Lessor 0 Consignee/Consignor 0 Seller/Buyer D Bailee/Bailor 0 Licensee/Licensor <br />8. OPTIONAL FILER REFERENCE DATA: :219241-001 <br />2062 73452 <br />FILING OFFICE COPY— UCC FINANCING STATEMENT (Form UCC1) (Rev. 04/20/11) <br />
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