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202110997
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Last modified
12/29/2021 3:48:57 PM
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12/29/2021 3:48:56 PM
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202110997
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_limmumm'INANCING STATEMENT AMENDMENT <br />r INSTRUCTIONS <br />3mminown• '. & PHONE OF CONTACT AT FILER (optional) <br />ra M. O'Brien (314-552-6808) <br />L CONTACT AT FILER (optional) <br />—.1•1111Immi 1@polsinelli.com <br />rn <br />rn <br />z <br />n � <br />rn D <br />n N v1 <br />1.0VSISSY TO <br />ACKNOWLEDGMENT TO: (Name and Address) <br />elli PC <br />outh Fourth Street, Suite 1000 <br />.uis, MO 63102 <br />I(Attention: Robert C. Graham, III <br />1a. INITIAL FINANCING STATEMENT FILE NUMBER <br />201508665 filed 12/22/2015 <br />nn <br />rn Lon <br />ns <br />r- <br />THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY <br />1b.Q This FINANCING STATEMENT AMENDMENT is to be filed [for record] <br />(or recorded) In the REAL ESTATE RECORDS <br />ry <br />ry <br />)-' <br />CD <br />CD <br />CO <br />Filer: Mat Amendment Addendum (Form UCC3Ad) EA provide Debtor's name In item 13 <br />2. ❑ TERMINATION: Effectiveness of the Financing Statement identified above is terminated <br />with respect to the security interest(s) of Secured Party authorizing this Termination <br />mfamsant <br />3. ❑ ASSIGNMENT (full or partial): Provide name of Assignee in Item 7a or 7b, gpg address of Assignee In item 7c gpQ name of Assignor in item 9 <br />For partial assignment, complete items 7 and 9 And also Indicate affected collateral In item 8 <br />4. ❑ CONTINUATION: Effectiveness of the Financing Statement identified above with respect to the security interest(s) of Secured Party authorizing this Continuation Statement is <br />continued for the additional period provided by applicable law <br />5. ❑ PARTY INFORMATION CHANGE: <br />Check go of these two boxes: an Check one of these three boxes to: <br />CHANGE name and/or address: CompleteADD name: Complete Item DELETE name: Give record name <br />This Change affects El Debtor gr ❑Secured Party of record ❑ item 6a or 6b; gag item 7a or 7b gfti item 7c ❑ 7a or 7b, KW item 7c ❑ to be deleted in item 6a or 6b <br />6. CURRENT RECORD INFORMATION: Complete for Party Information Change - provide only gne name (88 or 8b) <br />OR <br />6a. ORGANIZATION'S NAME <br />6b. INDIVIDUAL'S SURNAME <br />FIRST PERSONAL NAME <br />ADDITIONAL NAME(S)/INITIAL(S) <br />SUFFIX <br />7. CHANGED OR ADDED IN FORMATION: Complete for Assignment or Part/ Information Change - provide only mg name (7a or 7b) (use exact, lull name; do not omit, modify, or abbreviate any part of the Debtor's name) <br />OR <br />7a. ORGANIZATION'S NAME <br />7b. INDIVIDUAL'S SURNAME <br />INDIVIDUAL'S FIRST PERSONAL NAME <br />INDIVIDUAL'S ADDITIONAL NAME(S)/INITIAL(S) <br />SUFFIX <br />7c. MAILING ADDRESS <br />CITY <br />STATE <br />POSTAL CODE <br />COUNTRY <br />8. ❑ COLLATERAL CHANGE: e(gs check gpg of these four boxes: ❑ ADD collateral a DELETE collateral <br />Indicate collateral: <br />Unit 5, PARK ISLAND SQUARE BUSINESS CONDOMINIUMS, a condominium subdivision in Grand Island Hall County, Nebraska. <br />RESTATE covered collateral ❑ ASSIGN collateral <br />9. NAME OF SECURED PARTY OF RECORD AUTHORIZING THIS AMENDMENT: Provide only gpg name (9a or 9b) (name of Assignor, if this is an Assignment) <br />If this is an Amendment authorized by a DEBTOR, check here ❑ and provide name of authorizing Debtor <br />OR <br />9a. ORGANIZATION'S NAME <br />Simmons First National Bank <br />9b. INDIVIDUAL'S SURNAME <br />FIRST PERSONAL NAME <br />ADDITIONAL NAME(S)/INITIAL(S) <br />SUFFIX <br />10. OPTIONAL FILER REFERENCE DATA: <br />FILING OFFICE COPY — UCC FINANCING STATEMENT AMENDMENT (Form UCC3) (Rev. 04/20/11) <br />International Association of Commercial Administrators (IACA) <br />
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