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200112872 <br />UCC FINANCING STATEMENTADDENDUM <br />9. NAME OF FIRST DEBTOR (1a or 1b) ON RELATED FINANCING STATEMENT <br />9a. ORGANIZATION'S NAME <br />OR Bosselman, Inc. <br />�9b. INDIVIDUAL'S LAST NAME I FIRST NAME Imli <br />10. MISCELLANEOUS: <br />' THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY <br />11. ADDITIONAL DEBTOR'S EXACT FULL LEGAL NAME - insert only M2 name (Ile or 11b) - do not abbreviate or combine names <br />11 a. ORGANIZATION'S NAME <br />Bosselman, Inc. of Big Springs <br />UR <br />11 b. INDIVIDUAL'S LAST NAME <br />FIRST NAME <br />MIDDLE NAME <br />SUFFIX <br />11 c. MAILING ADDRESS <br />CITY <br />STATE <br />POSTAL CODE <br />COUNTRY <br />3123 West Stolley Park Road <br />Grand Island <br />NE <br />68802 <br />I <br />USA <br />11d. TAX ID #: SSN OR EIN <br />A 11e. TYPE OF ORGANIZATION <br />11f. JURISDICTION OF ORGANIZATION 11g. ORGANIZATIONAL ID #, if any <br />47- 0530947 <br />DEBTOR ORGANIZATION I corporation <br />Nebraska <br />FINONE <br />12. <br />ADDITIONAL SECURED PARTY'S Qr ASSIGNOR SIPS NAME - insert only gm name (12a or 12b) <br />12a. ORGANIZATION'S NAME <br />OR <br />12b. INDIVIDUAL'S LAST NAME <br />FIRST NAME <br />MIDDLE NAME <br />SUFFIX <br />12c. MAILING ADDRESS <br />CITY <br />STATE <br />IPOSTALCODE <br />COUNTRY <br />13. This FINANCING STATEMENT covers timber to be cut or as- extracted <br />16. Additional collateral description: <br />collateral, or is filed as a [ x Inxture filing. <br />14. Description of real estate: <br />See Exhibit "All attached hereto. <br />15. Name and address of a RECORD OWNER of above - described real estate <br />(if Debtor does not have a record interest): <br />17. Check g01y If applicable and check gnly one box. <br />Debtor is a rust Trustee acting with respect to property held In trust or ecedent's Estate <br />18. Check Q* if applicable and check g* one box. <br />Debtor is a TRANSMITTING UTILITY <br />Filed in connection with a Manufactured -Home Transaction — effective 30 years <br />Filed in connection with a Public- Finance Transaction — effective 30 years <br />FILING OFFICE COPY— NATIONAL UCC FINANCING STATEMENT ADDENDUM (FORM UCCIIAd) (REV. 07/29/98) <br />