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UCC FINANCING STATEMENT FOLLOW INSTRUCTIONS front and back CAREFULLY iC = A. NAME & PHONE OF CONTACT AT FILER [optional] Diligenz, Inc. 1- 800 - 858 -5294 B. ACKNOWLEDGMENT TO: (Name and Address) 692225 DI igenz, Inc. 6500 Harbour Heights Pkwy Suite 400 Mukilteo, WA 98275 2a. ORGANIZATION'S NAME FIRST NAME z 21b. INDIVIDUAL'S LAST NAME FIRST NAME >- Z rrnn D '�v --4 � M I POSTAL CODE M �� I7 A' INFO RE 2e. TYPE OF ORGANIZATION 2f. JURISDICTION OF ORGANIZATION ORGANIZATION DEBTOR O o O -n O T cn Z 1 o � x M M O = � v 3 r D Cn r n w UCC FINANCING STATEMENT FOLLOW INSTRUCTIONS front and back CAREFULLY iC = A. NAME & PHONE OF CONTACT AT FILER [optional] Diligenz, Inc. 1- 800 - 858 -5294 B. ACKNOWLEDGMENT TO: (Name and Address) 692225 DI igenz, Inc. 6500 Harbour Heights Pkwy Suite 400 Mukilteo, WA 98275 Filed In: Nebraska Hall County Clerk THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY 1. DEBTORS EXACT FULL LEGAL NAME - insert only QM debtor name (1a or 11b) - do not abbreviate or combine names rT laORGANIZATION'S NAME & J TIRES AND ASSOCIATES, LLC (DEBTOR) OR 1b. INDIVIDUAL'S LAST NAME IFIRSTNAME SUFFIX 1c. MAILING ADDRESS CITY STATE I POSTAL CODE COUNTRY 2135 Diers Avenue Grand Island NE 68802 USA 1d. TAX ID #: SSN OR EIN ADO'L INFO RE Ile. TYPE OF ORGANIZATION tf. JURISDICTION OF ORGANIZATION 19. ORGANIZATIONAL ID #, if any 20- 0308792 ORGANIZATION LLC NE P1 NONE 2 Ann ITInNA1 r1FRTOR'S FXACT Fill L I. F(' AL NAME - insert only one debtor name (2a or 2b) - do not abbreviate or combine names 2a. ORGANIZATION'S NAME FIRST NAME OR 21b. INDIVIDUAL'S LAST NAME FIRST NAME >- Z f V to \ '�v --4 � M I POSTAL CODE M �� I7 A' INFO RE 2e. TYPE OF ORGANIZATION 2f. JURISDICTION OF ORGANIZATION ORGANIZATION DEBTOR O o O -n O T cn Z 1 o x M M O D m O M 3 r 0 r n w N � f'V F- + D O CD =3 cn C/) a Z Q Filed In: Nebraska Hall County Clerk THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY 1. DEBTORS EXACT FULL LEGAL NAME - insert only QM debtor name (1a or 11b) - do not abbreviate or combine names rT laORGANIZATION'S NAME & J TIRES AND ASSOCIATES, LLC (DEBTOR) OR 1b. INDIVIDUAL'S LAST NAME IFIRSTNAME SUFFIX 1c. MAILING ADDRESS CITY STATE I POSTAL CODE COUNTRY 2135 Diers Avenue Grand Island NE 68802 USA 1d. TAX ID #: SSN OR EIN ADO'L INFO RE Ile. TYPE OF ORGANIZATION tf. JURISDICTION OF ORGANIZATION 19. ORGANIZATIONAL ID #, if any 20- 0308792 ORGANIZATION LLC NE P1 NONE 2 Ann ITInNA1 r1FRTOR'S FXACT Fill L I. F(' AL NAME - insert only one debtor name (2a or 2b) - do not abbreviate or combine names 3. SECURED PARTY'S NAME (or NAME of TOTAL ASSIGNEE of ASSIGNOR SIP) - insert only gnu secured party name (3a or 3a. ORGANIZATION'S NAME Big O Tires, Inc. OR 2a. ORGANIZATION'S NAME FIRST NAME OR 21b. INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE NAME SUFFIX 2c. MAILING ADDRESS CITY STATE I POSTAL CODE COUNTRY 2d. TAX ID #: SSN OR EIN A' INFO RE 2e. TYPE OF ORGANIZATION 2f. JURISDICTION OF ORGANIZATION ORGANIZATION DEBTOR 2g. ORGANIZATIONAL ID #, if any NONE 3. SECURED PARTY'S NAME (or NAME of TOTAL ASSIGNEE of ASSIGNOR SIP) - insert only gnu secured party name (3a or 3a. ORGANIZATION'S NAME Big O Tires, Inc. OR 3b. INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE NAME SUFFIX 3c. MAILING ADDRESS 12650 East Briarwood Avenue, Suite 2D CITY Centennial STATE CO POSTAL CODE 80112 COUNTRY USA 4. This FINANCING STATEMENT covers the following collateral: ALL INVENTORY, ACCOUNTS RECEIVABLE, EQUIPMENT, FURNITURE AND FIXTURES, AND GENERAL INTANGIBLES. 5. ALTERNATIVE DESIGNATION [if applicable]: LESSEE /LESSOR CONSIGNEE /CONSIGNOR BAILEE /BAILOR SELLER /BUYER AG. LIEN NON -UCC FILING 6, s is to e Tiled or record] or recorded) in t e 7, ec to on a for (s) X ESTATE RECORDS. Attach Addendum if a hcable ADDITIONAL FEE o tional All Debtors Debtor 1 Debtor 2 8. OPTIONAL FILER REFERENCE DATA . 27010 T & J TIRES AND ASSOCIATES, LLC (DEBTOR) 7692225 FILING OFFICE COPY — NATIONAL UCC FINANCING STATEMENT (FORM UCC1) (REV. 07/29/98)