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L <br />THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY <br />1. DEBTOR'S EXACT FULL LEGAL NAME - insert only Dne debtor name (1a or 1b) - do not abbreviate or combine names <br />1 a. ORGANIZATION'S NAME <br />OR <br />;0 <br />C7 <br />MIDDLE NAME <br />SUFFIX <br />OR <br />1b. INDIVIDUAL'S LAST NAME <br />FIRST NAME <br />MIDDLE NAME <br />SUFFIX <br />1c. MAILING ADDRESS <br />CITY <br />rn <br />= <br />COUNTRY <br />455 E. Ellis Road <br />Muskegon <br />MI <br />49443 <br />USA <br />1d. TAX ID #: SSN OR EIN <br />le. TYPE OF ORGANIZATION <br />11. JURISDICTION OF ORGANIZATION <br />n <br />C <br />rn <br />1ADD'LINFORE <br />DEBTOR �TION Corporation <br />Delaware <br />2396595 <br />NONE <br />Z <br />MCnn <br />a <br />rM <br />_ <br />fl <br />�-e <br />UCC FINANCING STATEMENT <br />'—' <br />° q <br />o <br />C <br />CD <br />FOLLOW INSTRUCTIONS front and back CAREFULLY <br />c� ao <br />y <br />� <br />A. NAME & PHONE OF CONTACT AT FILER [optional] <br />m <br />-"'f <br />--} m <br />O <br />N <br />o <br />'*r <br />C013 <br />C) <br />c� <br />O <br />B. SEND TO: (Name and Address) <br />0 <br />T rn <br />� <br />� <br />rACKNOWLEDGMENT <br />M <br />r M <br />~ <br />3 <br />I" <br />n <br />O <br />E. <br />cn <br />CD <br />CA3 <br />M4. <br />ry <br />.., <br />o <br />rn <br />cn <br />• <br />L <br />THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY <br />1. DEBTOR'S EXACT FULL LEGAL NAME - insert only Dne debtor name (1a or 1b) - do not abbreviate or combine names <br />2. ADDITIONAL DEB TUR'S EXACT FULL LEGAL NAME - insert only one debtor name (2a or 2b) - do not abbreviate or combine names <br />1 a. ORGANIZATION'S NAME <br />OR <br />2b. INDIVIDUAL'S LAST NAME <br />Country General, Inc. <br />MIDDLE NAME <br />SUFFIX <br />OR <br />1b. INDIVIDUAL'S LAST NAME <br />FIRST NAME <br />MIDDLE NAME <br />SUFFIX <br />1c. MAILING ADDRESS <br />CITY <br />STATE <br />POSTAL CODE <br />COUNTRY <br />455 E. Ellis Road <br />Muskegon <br />MI <br />49443 <br />USA <br />1d. TAX ID #: SSN OR EIN <br />le. TYPE OF ORGANIZATION <br />11. JURISDICTION OF ORGANIZATION <br />tg. ORGANIZATIONAL ID #, if any <br />47- 0778047 <br />1ADD'LINFORE <br />DEBTOR �TION Corporation <br />Delaware <br />2396595 <br />NONE <br />2. ADDITIONAL DEB TUR'S EXACT FULL LEGAL NAME - insert only one debtor name (2a or 2b) - do not abbreviate or combine names <br />3. SECURED PARTY'S NAME (or NAME of TOTAL ASSIGNEE of ASSIGNOR SIP) - insert only one secured nartv name (3a or 3h) <br />2a. ORGANIZATION'S NAME <br />OR <br />2b. INDIVIDUAL'S LAST NAME <br />FIRST NAME <br />MIDDLE NAME <br />SUFFIX <br />2c. MAILING ADDRESS <br />CITY <br />STATE IPOSTALCODE <br />One Federal Street <br />COUNTRY <br />2d. TAX ID #: SSN OR EIN <br />ADD 'L INFO RE 2e. TYPE OF ORGANIZATION 2f. JURISDICTION OF ORGANIZATION <br />2g. ORGANIZATIONAL ID #, it any <br />OGANIZATION <br />IDEEITOR <br />NONE <br />3. SECURED PARTY'S NAME (or NAME of TOTAL ASSIGNEE of ASSIGNOR SIP) - insert only one secured nartv name (3a or 3h) <br />4. This FINANCING STATEMENT covers the following collateral: <br />See Schedule A and Exhibit A attached hereto. <br />5. ALTERNATIVE DESIGNATION [if applicable]: LESSEE/LESSOR CONSIGNEE/CONSIGNOR BAILEE /BAILOR SELLER/BUYER AG. LIEN NON - UCCFILING <br />B. Is s to or reco or recor in t e 7. ec to on a for s <br />All Debtors Debtor 1 Debtor 2 <br />B. OPTIONAL FILER REFERENCE DATA <br />To be filed with the Recorder of Hall County, Nebraska <br />FILING OFFICE COPY — NATIONAL UCC FINANCING STATEMENT (FORM UCC1) (REV. 07/29/98) <br />NATUCCI - 5/4/01 C T System Online <br />�! <br />C-- <br />CD, <br />3a. ORGANIZATION'S NAME <br />Fleet National Bank, as Administrative Agent <br />OR <br />3b. INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE NAME SUFFIX <br />3c. MAILING ADDRESS <br />CITY <br />STATE <br />CODE <br />COUNTRY <br />One Federal Street <br />Boston <br />]POSTAL <br />MA <br />02110 <br />USA <br />4. This FINANCING STATEMENT covers the following collateral: <br />See Schedule A and Exhibit A attached hereto. <br />5. ALTERNATIVE DESIGNATION [if applicable]: LESSEE/LESSOR CONSIGNEE/CONSIGNOR BAILEE /BAILOR SELLER/BUYER AG. LIEN NON - UCCFILING <br />B. Is s to or reco or recor in t e 7. ec to on a for s <br />All Debtors Debtor 1 Debtor 2 <br />B. OPTIONAL FILER REFERENCE DATA <br />To be filed with the Recorder of Hall County, Nebraska <br />FILING OFFICE COPY — NATIONAL UCC FINANCING STATEMENT (FORM UCC1) (REV. 07/29/98) <br />NATUCCI - 5/4/01 C T System Online <br />�! <br />C-- <br />CD, <br />