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mmaym <br />NANCING STATEMENT <br />ISTRUCTIONS <br />1 PRONE OP CONTACT AT FILER (optional) <br />ehn 308447.6131 <br />CONTACT AT FILER (optionsI) <br />Qcomerstoneconnect.com <br />ICKNOWLEDOMENT TO: (Name and Address) <br />nerstone Sank APO <br />Box 69 <br />529 N Lincoln Ave <br />LYork, NE 68467.0068 <br />THE ABOVE SPACE 18 POR FILING OFFICE USE ONLY <br />1, DEBTOR'S NAME: Provide only ane Debtor name (1 a or 1 b) (use exact hull name; do not omit, modify, or abbreviate any part of the Debtor's name); If any part of the Indiv,dusl Debtor's <br />name WI not f1* In Ina lb, Nava al of hem 1 blank, cheek here and provide the Individual Debtor information In Item 10 of the Financing Statement Addendum (Form UCCIAd) <br />OR <br />1a. ORGANIZATION'S NAME <br />1b. INDIVIDUAL'S SURNAME <br />Dannon <br />FIRST PERSONAL NAGE <br />Ryan <br />AoomoNAL NAMB(8YINrAL(8) <br />J <br />lo. MAILING ADDRESS <br />28 Catfish Cove PI <br />CITY <br />Shelton <br />trot <br />NE <br />Pd AL CODE <br />88670.3400 <br />COulifRY <br />USA <br />2. DEBTOR'S NAME: Provide only gas Debbi name (2a or 2b) (use enact, full name: do not omit, modify. or abbreviate any part of the Debtors name); if any part of the Individual Debtors <br />nems will not lit In line 2b, Nava sl of item 2 blank, check here o and provide the Individual Debtor Information in Item 10 of the Plnsnakrg Statement Addendum (Form UCC1Ad) <br />2a OReANMZATION'S NAME <br />"" <br />2b. INDIVIDUAL'S SURNAME <br />'FIRS, PERSONAL NAME <br />CITY <br />ADOMONAL <br />STATE <br />POSTAL CODE <br />SUFFIX <br />coati rer <br />2a. <br />NAILING Amines <br />3. SECURED <br />OR <br />PARTY'$ NAME (er NAME of ASSIGNEE of ASSIGNOR SECURED PART* Prattle emir amt aaou(ed POW home .( w 341 <br />sa OROANIZATIDN'S NAME <br />CORNERSTONE BANK <br />30. INOIYIDUAL'S SURNA M <br />RBST P8Ra0NAL NAME <br />ADDITIONAL NAMEAN1TIAL(S) <br />SMEs( <br />30, <br />119 <br />NAILING ADDRESS <br />C Street, P.O. Box 638 <br />CRY <br />Shelton <br />STATE <br />NE <br />POSTAL C00E <br />68870.0639 <br />CON 1 RY <br />USA <br />. COLLATERAL: TNN Alarming statement covers the following Collateral: <br />Ali inventory, equipment, accounts (Including but not limited to all health -care -insurance receivables), chattel paper, instruments (including <br />but not limited to all promissory notes), letter -of credit rights, letters of dot, documents, deposit accounts, investment property, motley, <br />other rights to payment and performance, and general Maniples (Including but not limited to all software and all payment Intangibles); all <br />oil, gas and other minerals before extraction; all oil, gas, other minerals and accounts constituting asextracted collateral; all fixtures; all <br />timber to be cut; all attachments, accessions, accessories, fittings, Increases, tools, parts, repairs, supplies, and commingled goods relating <br />to the foregoing property, and all additions, replacements of and substitutions for all or any part of the foregoing property; all insurance <br />refunds relating to the foregoing property; ail good will relating to the foregoing property; all records and data and embedded software <br />relating to the foregoing property, and all equipment, inventory and software to utilize, create, maintain and process any such records and <br />data on electronic media; and all supporting obligations relating to the foregoing property; all whether now existing or hereafter arising, <br />whether now owned or hereafter acquired or whether now or hereafter subject to any rights in the foregoing property; and all products and <br />proceeds (including but not limited to all insurance payments) of or relating to the foregoing property. <br />5. Check oak if spoilable end dunk ro ht one box: Colateral Is (Jheld In a Trust (eeo UCC1Ad, ham 17 and Instructions) being administered by a Decedent's Personal <br />Ea. Cheek only I spoilable and cheek <br />MO one box: .Cheek g011C I applicable end shack gide one box; <br />0 Pubib•Flnance Transaction 0 Manufactured -Home Transaction ' 0 A Debtor Is a Tr Willy AarbulD al Lien Non•UCC Plena <br />7, ALTERNATIVE DE8IONATION Of appVeable): 0 Lessee/Lessor Q CoafpraslConet nor 0 BerelBayer 8aitee&Balor LlasnadLlasnaor <br />8. OPTIONAL FILER REFERENCE DATA: <br />FILING OFFICE COPY — UCC FINANCING STATEMENT (Form UCC1) (Rev, 04/20111) <br />Flnsatra <br />666 SW Morrison, Suite 300, Portland, OR <br />rri <br />LelC <br />ren <br />0 <br />