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20250/898 <br />UCC FINANCING STATEMENT ADDITIONAL PARTY <br />FOLLOW INSTRUCTIONS <br />18. NAME OF FIRST DEBTOR: Same as line la or lb on Financing Statement; if line 1b was left blank <br />because Individual Debtor name did not fit, check here <br />18a. ORGANIZATION'S NAME <br />OR <br />18b. INDIVIDUAL'S SURNAME <br />PANOWICZ <br />FIRST PERSONAL NAME <br />MATTHEW <br />ADDITIONAL NAME(S)/INITIAL(S) <br />M <br />SUFFIX <br />19. ADDITIONAL DEBTOR'S NAME: Provide only one Debtor name (19a or 19b) (use exact full name; do not omiTHE ABOVE SPACE IS t, modify,FOR FILING OFFICE USE ONLY <br />or abbreviate e any <br />19a. ORGANIZATION'S NAME part of the Debtor's name) <br />OR <br />19b. INDIVIDUAL'S SURNAME <br />PANOWICZ <br />19c. MAILING ADDRESS <br />7251 W US HIGHWAY 2 <br />FIRST PERSONAL NAME <br />SARAH <br />ADDITIONAL NAME(S)/INITIAL(S) <br />SUE <br />SUFFIX <br />STATE POSTAL CODE <br />NE 68803 <br />20. ADDITIONAL DEBTOR'S NAME: Provide only gag Debtor name (20a or 20b) (use exact, full name; do not omit, modify, or abbreviate any part of the Debtor's name) <br />20a. ORGANIZATION'S NAME <br />OR <br />20b. INDIVIDUAL'S SURNAME <br />20c. MAILING ADDRESS <br />CITY <br />GRAND ISLAND <br />COUNTRY <br />USA <br />FIRST PERSONAL NAME <br />ADDITIONAL NAME(S)/INITIAL(S) <br />SUFFIX <br />CITY <br />STATE POSTAL CODE <br />21. ADDITIONAL DEBTOR'S NAME: Provide only gng Debtor name (21a or 21b) (use exact, full name; do not omit, modify, or abbreviate any part of the Debtor's name) <br />OR <br />21a. ORGANIZATION'S NAME <br />21b. INDIVIDUAL'S SURNAME <br />21c. MAILING ADDRESS <br />COUNTRY <br />FIRST PERSONAL NAME <br />ADDITIONAL NAME(S)/INITIAL(S) <br />SUFFIX <br />CITY <br />STATE <br />POSTAL CODE <br />22. Q ADDITIONAL SECURED PARTY'S NAME or 1=1 ASSIGNOR SECURED PARTY'S NAME Provide only me name (22a or 22b) <br />22a. ORGANIZATION'S NAME <br />OR <br />22b. INDIVIDUAL'S SURNAME <br />22c. MAILING ADDRESS <br />COUNTRY <br />FIRST PERSONAL NAME <br />ADDITIONAL NAME(S)/INITIAL(S) <br />SUFFIX <br />CITY <br />STATE <br />POSTAL CODE <br />23. Q ADDITIONAL SECURED PARTY'S NAME or D ASSIGNOR SECURED PARTY'S NAME Provide only mg name (23a or 23b) <br />23a. ORGANIZATION'S NAME <br />OR <br />23b. INDIVIDUAL'S SURNAME <br />23c. MAILING ADDRESS <br />COUNTRY <br />FIRST PERSONAL NAME <br />ADDITIONAL NAME(S)/INITIAL(S) <br />SUFFIX <br />24. MISCELLANEOUS: <br />CITY <br />STATE <br />POSTAL CODE <br />COUNTRY <br />FILING OFFICE COPY — UCC FINANCING STATEMENT ADDITIONAL PARTY (Form UCC1AP) (Rev 08/22/1111j Association of Commercial Administrators (IACA) <br />