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CASH /D <br />CHECK /'7'w <br />N aa�r�a� <br />FINANCING STATEMENT <br />V7 W INSTRUCTIONS <br />W <br />1E & PHONE OF CONTACT AT SUBMITTER (optional) <br />COORDINATOR (813) 490-3400 <br />AIL CONTACT AT SUBMITTER (optional) <br />IN <br />11111.1 JD ACKNOWLEDGMENT TO: (Name and Address) <br />ISPC J <br />1115 GUNN HWY STE 100 �p <br />L__ODESSA FL 33556 <br />SEE BELOW FOR SECURED PARTY CONTACT INFORMATION <br />REFUNDS: <br />CASH <br />CHECK <br />RECORDED <br />HALL CCtiNNTY NE <br />05?32 1OISOCT i4 P 3:09 <br />«� WOLD <br />REGISTER OF DEEDS <br />THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY <br />1. DEBTOR'S NAME: Provide only gag Debtor name (la or lb) (use exact, full name; do not omit, modify, or abbreviate any part of the Debtor's name); t any part of Ole Individual Debtor's name will <br />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) <br />10' <br />la. ORGANIZATIONS NAME <br />OR <br />lb. INDIVIDUAL'S SURNAME <br />PEREZ <br />FIRST PERSONAL NAME <br />MIKE <br />ADDITIONAL NAME(S)/INITIAL(S) <br />SUFFIX <br />SR <br />1c. MAILING ADDRESS <br />3132 WESTSIDE ST <br />CITY <br />GRAND ISLAND <br />STATE <br />NE <br />POSTAL CODE <br />68803 <br />COUNTRY <br />US <br />2. DEBTOR'S NAME: Provide only gm Debtor name (2a or 2b) (use exact, full name; do not omit, modify, or abbreviate any part of Me Debtor's name); i1 any part of the Individual Debtor's name will not fit in line 2b, leave all of <br />item 2 blank, check here ❑ and provide the Individual Debtor information in item 10 of the Financing Statement Addendum (Form UCC1Ad) <br />OR <br />2a. ORGANIZATIONS NAME <br />2b. INDIVIDUAL'S SURNAME <br />PEREZ <br />FIRST PERSONAL NAME <br />MELINDA <br />ADDITIONAL NAME(S)/INITIAL(S) <br />SUFFIX <br />2c. MAILING ADDRESS <br />3132 WESTSIDE ST <br />CITY <br />GRAND ISLAND <br />STATE <br />NE <br />POSTAL CODE <br />68803 <br />COUNTRY <br />US <br />3. SECURED PARTY'S NAME (or NAME of ASSIGNEE of ASSIGNOR SECURED PARTY): Provide only one Secured Party name (3a or 3b) <br />3a. ORGANIZATION'S NAME <br />ISPC <br />UK <br />3b. INDIVIDUAL'S SURNAME <br />FIRST PERSONAL NAME <br />ADDITIONAL NAME(S)/INITIAL(S) <br />SUFFIX <br />3c. MAILING ADDRESS <br />1115 GUNN HWY STE 100 <br />CITY <br />ODESSA <br />STATE <br />FL <br />POSTAL CODE <br />33556 <br />COUNTRY <br />US <br />4. COLLATERAL: This financing statement covers the following collateral: <br />WATER CONDITIONER EQUIPMENT. SECURED PARTY'S INTEREST IN THE COLLATERAL, WHICH IS OR MAY BECOME A <br />FIXTURE, DOES NOT EXTEND TO THE REAL PROPERTY TO WHICH COLLATERAL IS AFFIXED. <br />5. Check og'If applicable and check only one box: Collateral is <br />held in a Trust (see UCC1Ad, item 17 and Instructions) <br />being administered by a Decedent's Personal Representative <br />6a.Check oily if applicable and check onlv one box: <br />❑ Public -Finance Transaction D Manufactured -Home Transaction <br />❑ A Debtor is a Transmitting Utility <br />6b. Check only if applicable and check o_niy one box: <br />❑ Agricultural Lien ❑ Non-UCC Filing <br />7. ALTERNATIVE DESIGNATION (if applicable): ❑ Lessee/Lessor <br />❑ Consignee/Consignor ❑ Seller/Buyer <br />❑ Bailee/Bailor ❑ Licensee/Licensor <br />8. OPTIONAL FILER REFERENCE DATA: <br />HALL, NE ISPC FILE # 1997118 <br />FILING OFFICE COPY—UCC FINANCING STATEMENT (Form UCC1) (Rev. 07/01/23) <br />CR <br />