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n) illMOMMEMINME <br />cs. <br />Iv `; FINANCING STATEMENT <br />r...) <br />ts )W INSTRUCTIONS <br />cm <br />--.1 ME & PHONE OF CONTACT AT FILER (optional) <br />CO <br />cm alley Fowler <br />MIL CONTACT AT FILER (optional) <br />mfekedg@sbcglobal.net <br />.ND ACKNOWLEDGMENT TO: (Name and Address) <br />Frontier Financial Partners, Inc. <br />c/o Kelley Fowler <br />2071 Fanestil Dr. <br />Emporia, KS 66801 <br />n <br />P1 <br />THE ABOVE SPACE IS FOR RUNG OFFICE USE ONLY <br />1. DEBTOR'S NAME: Provide only grie Debtor name (la or 1b) (use toast ft41 name; do not omIt, modify, or abbreviate any part of the Debbx'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 D and provide the Individual Debtor InfoneatiOn In Item 10 of the Fitalleillg Statement Addendum (Form UCCIAd) <br />le. ORGANIZATION'S NAME <br />Jammain, LLC, a Kansas Limited Liability Company <br />OR <br />lb. INDIVIDUAL'S SURNAME <br />FIRST PERSONAL NAME <br />ADDITIONAL NAME(S)4NITIAL(S) <br />SUFFIX <br />10, MAILINGADDRESS <br />P.O. Box 1001 <br />CITY <br />Salina <br />STATE <br />KS <br />POSTAL CODE <br />67402-1001 <br />COUNTRY <br />USA <br />2. DEBTOR'S NAME: Provide only Mb Debtor name (25 or 2b) (use erect, fuN name; do not omit, modify, or abbreviate any part of the Debtor'a fterne); If arty Fen dentinal/fame Domes <br />name Mg not fit In line 2b, leave alt of stern 2 blank, check here 0and provide the Individual OebtorinfomatiOn in Item 1001 the Financing Statement Addendum (Form UCC1Ad) <br />2a. ORGANIZATION'S NAME <br />BEITA, LLC, a Nebraska Limited Liability Company <br />OR <br />2b. INDIVIDUALS SURNAME <br />FIRST PERSONAL NAME <br />ADDITIONAL NAME(S)JINITIAL(S) <br />2c MAILING ADDRESS <br />2248 N. Webb Rd. <br />3. SECURED PARTY'S NAME (or NAME of <br />3a. ORGANIZATIOls7S NAME <br />OR <br />CITY <br />Grand Island <br />STATE <br />NE <br />POSTAL CODE <br />68803 <br />SUFFIX <br />COUNTRY <br />USA <br />SIGNEE of ASSIGNOR SECURED PARTY): Provide **gm Secured Party name (3a or 3b <br />Frontier Financial Partners, Inc. <br />3b. INDIVIDUAL'S SURNAME <br />FIRST PERSONALNAME <br />ADDITIONAL NAME(SFINITIAL(S) <br />SUFFIX <br />3c. MAIMArir <br />6th Ave, Ste E <br />CITY <br />Emporia <br />STATE <br />KS <br />POSTAL CODE <br />66801 <br />COMM <br />USA <br />— 4. COLLATERAL: This financing statement covers the following collateral: <br />All equipment, -furniture, fixtures, and other personal property (including any <br />proceeds for SBA 504 Loan #31469791-00, included but not limited to the items <br />described on a complete list that is.aocated in the offices of Frontier Financial <br />Partners, Inc., 1512 W. 6th, Ste E, Emporia, KS, including all replacements and <br />substitutions, wherever located. <br />5. Check Qs& if applicable and check gay one box Collateral Is []held Inc TAM (sae UCC1Ad, Item 17 and Inssuctions) Li being administered by a Deoutantl Personal ReprestentstIve <br />ea. Check aux II applicable and check mix one boa: &b. Oleos oabt if ereeloatee and do* SeiX ono box <br />0 PUblicArtafte Tfartbectioi 0 Manufactured.Norne Transachon 0 A Debtor Is 0 Trartsmittleg Utility 0 Asewitural Lien E3 Norwoc Filing <br />7. ALTERNATIVE DESIGNATION (if applicable): nt.951,00,,LOSSOf fl ConsigneeiConaignor 0 Seeentkiyer C:I Satasen3atilor 0 LironsssiUcensor <br />S. OPTIONAL FILER REFERENCE DATA: <br />SBA 504 Loan #31468781-00 - IEOP - Grand Island <br />FILING OFFICE COPY — UCC FINANCING STATEMENT (Form UCC1) (Rev. 12/01116) <br />International Association of Cornmercial Administrators (IACA) <br />