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202109641
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Last modified
11/15/2021 9:45:54 AM
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11/15/2021 9:45:54 AM
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202109641
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CO <br />0111111111111111M11 <br />FINANCING STATEMENT <br />V INSTRUCTIONS <br />IE & PHONE OF CONTACT AT FILER (optional) <br />C 1-800-858-5294 <br />kIL CONTACT AT FILER (optional) <br />RFiling@cscglobal.com <br />D ACKNOWLEDGMENT TO: epeand Address) <br />15 21998 f� <br />CSC iiaLsta�� 2-q (LC/ <br />Springfield, IL 62708- 2q <br />L <br />Filed In: Nebraska <br />(Hall) I <br />LTD <br />CO <br />CD <br />Cs� <br />THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY <br />MEM Sd 03113111 <br />1. DEBTOR'S NAME: Provide only one 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 <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 />la. ORGANIZATION'S NAME <br />VK <br />1b. INDIVIDUAL'S SURNAME <br />DIBBERN <br />FIRST PERSONAL NAME <br />JERRY <br />ADDITIONAL NAME(S)/INITIAL(S) <br />R <br />SUFFIX <br />lc. MAILING ADDRESS 15700 W SCHIMMER DR <br />CITY <br />WOOD RIVER <br />STATE <br />NE <br />POSTAL CODE <br />68883 <br />COUNTRY <br />USA <br />2. DEBTOR'S NAME: Provide only ppg 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 <br />name wit 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. ORGANIZATION'S NAME <br />2b. INDIVIDUALS SURNAME <br />DIBBERN <br />FIRST PERSONAL NAME <br />VERNA <br />ADDITIONAL NAME(S)/INITIAL(S) <br />F <br />SUFFIX <br />2c. MAILING ADDRESS 15700 W SCHIMMER DR <br />CITY <br />WOOD RIVER <br />STATE <br />NE <br />POSTAL CODE <br />68883 <br />COUNTRY <br />USA <br />3. SECURED PARTY'S NAME (or NAME of ASSIGNEE of ASSIGNOR SECURED PARTY): Provide only =Secured Party name (3a or 3b) <br />3a. ORGANIZATION'S NAME DIVERSIFIED FINANCIAL SERVICES, LLC <br />VK <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 />MIIAH`i°?oairroWER WITH CORNER 1658' <br />5. Check only if applicable and check only one box: Collateral is O held in a Trust (see UCC1Ad, item 17 and Instructions) '--! being administered by a Decedent's Personal Representative <br />6a. Check p°ly if applicable and check p01y one box: 6b. Check p°ly if applicable and check QoIy one box: <br />❑ Public -Finance Transaction ❑ Manufactured -Home Transaction A Debtor is a Transmitting Utility ❑ Agricultural Lien Non -UCC Filing <br />7. ALTERNATIVE DESIGNATION (if applicable): ❑ Lessee/Lessor ❑ Consignee/Consignor <br />8. OPTIONAL FILER REFERENCE DATA: :0130936-004 PERFECT <br />❑ Seller/Buyer <br />Bailee/Bailor Licensee/Licensor <br />2215 21998 <br />FILING OFFICE COPY— UCC FINANCING STATEMENT (Form UCC1) (Rev. 04/20/11) <br />
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