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NANCING STATEMENT ISTRUCTIONS PHONE OF CONTACT AT FILER (optional) CONTACT AT FILER (optional) IHST ZCZ: CKNOWLEDGMENT TO: (Name and Address) ..AT PLAINS STATE BANK COLUMBUS BRANCH 3423 21 STREET COLUMBUS, NE 68601 J 0001 CASH CHECK /-/ ij REFUNDS: CASH CHECK REC HALL 1013 F E6 E ii Ob REGISTER Lt OF .-' L.E1)::: THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY 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 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) la. ORGANIZATION'S NAME INNATE 4, LLC UK 1b. INDIVIDUALS SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX lc. MAILING ADDRESS 3481 W SCHIMMER DR CITY GRAND ISLAND STATE NE POSTAL CODE 68803-9680 COUNTRY USA 2. DEBTOR'S NAME: Provide only one Debtor name (2a or 2b) (use exact, full name; do not omit, modify, or abbreviate any part of the Debtors name); if any part of the Individual Debtor's 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 UCCIAd) OR2b. 2a. ORGANIZATION'S NAME LEGACY 34 INDIVIDUALS SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX 2c. MAILING ADDRESS 3481 W SCHIMMER DR CITY GRAND ISLAND STATE NE POSTAL CODE 68803-9680 COUNTRY USA 3. SECURED PARTY'S NAME (or NAME of ASSIGNEE of ASSIGNOR SECURED PARTY): Provide only one Secured Party name (3a or 3b) 3a. ORGANIZATION'S NAME GREAT PLAINS STATE BANK VK 3b. INDIVIDUALS SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX 3c. MAILING ADDRESS 4459 41 AVENUE CITY COLUMBUS STATE NE POSTAL CODE 68601 COUNTRY USA 4. COLLATERAL: This financing statement covers the following collateral: All right, title and interest of debtor in and to all tangible personal now owned or hereafter acquired by debtor and now or at any time hereafter located either at retailer awaiting delivery to or at the property previously mentioned that is to be used in connection herewith, including, but not limited to: all building materials stored on the property, goods, machinery, tools, equipment (including fire sprinklers and alarms systems, air conditioning, heating and refrigerating equipment, equipment for electronic monitoring entertainment, recreation, window or structural cleaning maintenance, exclusion of vermin or insects, removal of dust refuse or garbage, all kitchen equipment and all other equipment of every kind) other than such property owned by tenants of the debtor. 5. Check only if applicable and check only one box: Collateral is ❑ held in a Trust (see UCC1 Ad, item 17 and Instructions) ❑ being administered by a Decedent's Personal Representative 6a. Check only if applicable and check only one box: 6b. Check only if applicable and check only one box: ❑ Public -Finance Transaction ❑ Manufactured -Home Transaction ❑ A Debtor is a Transmitting Utility ❑ Agricultural Lien ❑ Non -UCC Filing 7. ALTERNATIVE DESIGNATION (if applicable): ❑ Lessee/Lessor 8. OPTIONAL FILER REFERENCE DATA: 2 ❑ Consignee/Consignor ❑ Seller/Buyer ❑ Bailee/Bailor ❑ Licensee/Licensor FILING OFFICE COPY — UCC FINANCING STATEMENT (Form UCC1) (Rev. 04/20/11) Finastra 555 SW Morrison, Suite 300, Portland, OR