Laserfiche WebLink
N <br />N- <br />wINANCING STATEMENT <br />IVB NSTRUCTIONS <br />& PHONE OF CONTACT AT FILER (optional) <br />1-800-858-5294 <br />CONTACT AT FILER (optional) <br />Filing@cscglobal.com <br />'kCKNOVVLEDGMENT TO: (Name and Address) <br />38302 p A , <br />CSC �I VZcl (04 <br />Springfield, IL 627Q _Zq Cf Filed In: Nebraska <br />L <br />(Hall) <br />n <br />rn <br />= N_ <br />(-)I <br />THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY <br />1. DEBTOR'S NAME: Provide only one 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 />ENTERED AS INSTRUMENT:N-5. <br />la. ORGANIZATION'S NAME <br />lb. INDIVIDUAL'S SURNAME <br />ALLAN <br />FIRST PERSONAL NAME <br />GEORGE <br />ADDITIONAL NAME(S)/INITIAL(S) <br />D <br />SUFFIX <br />4TH <br />lc. MAILING ADDRESS 5750 W SCHULTZ RD <br />CITY <br />Alda <br />STATE <br />NE <br />POSTAL CODE <br />68810 <br />COUNTRY <br />USA <br />2. DEBTOR'S NAME: Provide only gng 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 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. ORGANIZATION'S 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 one Secured Party name (3a 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 />t1S1` E1R67 n6 sNbefibnciAlL l�". PIVOT 1244' W/ 287' VFLEX CORNER ARM; NEW 4/0 WIRE, MISC. <br />VALVES & FITTINGS <br />5. Check only if applicable and check only one box: Collateral is ❑ held in a Trust (see UCC1Ad, item 17 and Instructions) ❑ being administered by a Decedent's Personal Representative <br />6a. Check only if applicable and check milt one box: 6b. Check only if applicable and check onbt one box: <br />ElPublic -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 ❑ Seller/Buyer ❑ Bailee/Bailor ❑ Licensee/Licensor <br />8. OPTIONAL FILER REFERENCE DATA: :185392-003 STOLTENBERG <br />2311 38302 <br />FILING OFFICE COPY — UCC FINANCING STATEMENT (Form UCC1) (Rev. 04/20/11) <br />