202401465 - Laserfiche WebLink

Browse

UCC FINANCING STATEMENT ADDITIONAL PARTY FOLLOW INSTRUCTIONS 18. OR NAME OF FIRST DEBTOR: Same as line la or lb on Financing Statement; if line 1b was left blank because Individual Debtor name did not fit, check here ❑ 18a. ORGANIZATION'S NAME 18b. INDIVIDUAL'S SURNAME Rathman FIRST PERSONAL NAME Adam J ADDITIONAL NAME(S)/INITIAL(S) SUFFIX 202401465 THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY 19. ADDITIONAL DEBTOR'S NAME: Provide only one Debtor name (19a or 19b) (use exact, full name; do not omit, modify, or abbreviate any part of the Debtor's name) 19a. ORGANIZATION'S NAME OR 19b. INDIVIDUAL'S SURNAME Rathman FIRST PERSONAL NAME Gwen ADDITIONAL NAME(S)/INITIAL(S) Marie SUFFIX 19c. MAILING ADDRESS 103 W Green St CITY Wood River STATE NE POSTAL CODE 68883 COUNTRY USA 20. ADDITIONAL DEBTORS NAME: Provide only gra Debtor name (20a or 20b) (use exact, full name; do not omit, modify, or abbreviate any part of the Debtor's name) OR 20a. ORGANIZATION'S NAME 20b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX 20c. MAILING ADDRESS CITY STATE POSTAL CODE COUNTRY 21. ADDITIONAL DEBTOR'S NAME: Provide only gra Debtor name (21a or 21 b) (use exact, full name; do not omit, modify, or abbreviate any part of the Debtor's name) OR 21a. ORGANIZATION'S NAME 21b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX 21c. MAILING ADDRESS CITY STATE POSTAL CODE COUNTRY S NAME or ASSIGNOR SECURED PARTY'S NAME: Provide only gra name (22a or 22b) OR 22a. ORGANIZATION'S NAME 22b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX 22c. MAILING ADDRESS CITY STATE POSTAL CODE COUNTRY 23. OR [l ADDITIONAL SECURED PARTY'S NAME gj (] ASSIGNOR SECURED PARTY'S NAME: Provide only gra name (23a or 23b) 23a. ORGANIZATION'S NAME 23b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX 23c. MAILING ADDRESS CITY STATE POSTAL CODE COUNTRY 24. MISCELLANEOUS: International Association of Commercial Administrators (IACA) FILING OFFICE COPY — UCC FINANCING STATEMENT ADDITIONAL PARTY (Form UCC1AP) (Rev. 08/22/11)