202101928 - Laserfiche WebLink

Browse

N N� e FINANCING STATEMENT (.0 V INSTRUCTIONS CO E & PHONE OF CONTACT AT FILER (optional) C 1-800-858-5294 UL CONTACT AT FILER (optional) RFiling@cscglobal.com D ACKNOWLEDGMEZT TO: (Name and Address) i9 79573 CSC RD a4(6 864-Allai-Stevenst WDrive Springfield, IL 62708– 2614"' L Filed In: Nebraska (Hall nn rn n? CO rl THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY 1. DEBTORS NAME: Provide only one Debtor name (la or lb) (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 1b, leave all of item 1 blank, check here 1=1 and provide the Individual Debtor information in item 10 of the Financing Statement Addendum (Form UCC1Ad) N O N F--+ CD CC) N CO OR la. ORGANIZATION'S NAME 1b. INDIVIDUALS SURNAME RAUERT FIRST PERSONAL NAME JASON ADDITIONAL NAME(S)/INITIAL(S) R SUFFIX lc. MAILING ADDRESS 2511 E WHITE CLOUD RD CITY Grand Island STATE NE POSTAL CODE 68801 COUNTRY USA 2. DEBTOR'S NAME: Provide only ma 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 Debtor's 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 ma 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 — 4.1car5RAoTa5VELaLeab t OktPl rr-TOWER 1180' 5. Check only if applicable and check only one box: Collateral is O held in a Trust (see UCC1Ad, item 17 and Instructions) 4 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 gn(y 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 0 Consignee/Consignor ❑ Seller/Buyer ❑ Bailee/Bailor ❑ Licensee/Licensor 8. OPTIONAL FILER REFERENCE DATA: :0210633-002 STOLTENBERG 2069 79573 FILING OFFICE COPY — UCC FINANCING STATEMENT (Form UCC1) (Rev. 04/20/11) rn rn Prarn Dr›.