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rn L _jj TH <br />VI <br />\ 1. DEBTOR'S EXACT FULL LEGAL NAME -insert only g= debtor name (1 a or 1 b) -do not abbreviate or combine names <br />1 a. ORGANIZATION'S NAME <br />Mr. G's Car Care Center, Inc. <br />OR 1 b. INOIVIOUAUS LAST NAME I FIRST NAME <br />Y <br />I c. MAILINU AUUKtSS LI I T W A I L Y [WUN I I <br />3005 Frontage Road Grand Island NE 68802 USA <br />1d. SEE INSTRUCTIONS ADUL INFO RE le. TYPE OF ORGANIZATION 1f. JURISDICTION OF ORGANIZATION 1g. ORGANIZATIONAL ID #, if any <br />ORGANIZATION <br />DEBTOR I Corporation Nebraska ✓ <br />2. ADDITIONAL DEBTOR'S EXACT FULL LEGAL NAME -insert only gpg debtor name (2a or 2b) -do not abbreviate or combine names <br />OR <br />Jacobson Gary R. <br />2c. MAILING ADDRESS Cry STATE 1POSTALCODE COUNTRY <br />3005 Frontage Road Grand Island NE 68802 <br />2d. SEE INSTRUCTIONS AOUL INFO RE 12e. TYPE OF ORGANIZATION 2f. JURISDICTION OF ORGANIZATION 2g. ORGANIZATIONAL ID #, if any <br />ORGANIZATION <br />DEBTOR NONE <br />3. SECURED PARTY 'S NAME (or NAMEofTOTALASSIGNEE& ASSIGNOR SIP) - insertonly=secured party name (3a or3b) <br />3a. ORGANIZATION'S NAME <br />f Tnited States Small Business Administration <br />UK <br />3b. INDIVIDUAL'S LAST NAME <br />FIRST NAME <br />MIDDLE NAME <br />SUFFIX <br />3c. MAILING ADDRESS <br />CITY <br />STATE <br />POSTAL CODE <br />COUNTRY <br />11145 Mill Valley Road <br />Omaha <br />NE <br />o <br />USA <br />n <br />z <br />n <br />z <br />G <br />PIZ <br />o <br />C? U1 <br />C=3 <br />m <br />z D <br />r.3 <br />{ <br />° <br />UCC FINANCING STATEMENT] <br />= -* <br />(� Q FOLLOW INSTRUCTIONS front and back CAREFULLY <br />c <br />... <br />( V <br />© T1 <br />° <br />A. NAME & PHONE OF CONTACT AT FILER [optional) <br />L <br />`T,I <br />S <br />Z" <br />Alan M. Wood (402) 476 -1000 <br />3, `:- <br />p <br />Ln Ln <br />B. SEND ACKNOWLEDGMENT TO: (Name and Address) <br />' <br />rn <br />�� <br />�. <br />Alan M. Wood <br />r' <br />v <br />°(1 <br />ERICKSON & SEDERSTROM, P.C. <br />CID <br />301 South 13th Street, Suite 400 <br />cn <br />Cn <br />rn <br />Z <br />Lincoln, NE 68508 <br />O <br />I <br />rn L _jj TH <br />VI <br />\ 1. DEBTOR'S EXACT FULL LEGAL NAME -insert only g= debtor name (1 a or 1 b) -do not abbreviate or combine names <br />1 a. ORGANIZATION'S NAME <br />Mr. G's Car Care Center, Inc. <br />OR 1 b. INOIVIOUAUS LAST NAME I FIRST NAME <br />Y <br />I c. MAILINU AUUKtSS LI I T W A I L Y [WUN I I <br />3005 Frontage Road Grand Island NE 68802 USA <br />1d. SEE INSTRUCTIONS ADUL INFO RE le. TYPE OF ORGANIZATION 1f. JURISDICTION OF ORGANIZATION 1g. ORGANIZATIONAL ID #, if any <br />ORGANIZATION <br />DEBTOR I Corporation Nebraska ✓ <br />2. ADDITIONAL DEBTOR'S EXACT FULL LEGAL NAME -insert only gpg debtor name (2a or 2b) -do not abbreviate or combine names <br />OR <br />Jacobson Gary R. <br />2c. MAILING ADDRESS Cry STATE 1POSTALCODE COUNTRY <br />3005 Frontage Road Grand Island NE 68802 <br />2d. SEE INSTRUCTIONS AOUL INFO RE 12e. TYPE OF ORGANIZATION 2f. JURISDICTION OF ORGANIZATION 2g. ORGANIZATIONAL ID #, if any <br />ORGANIZATION <br />DEBTOR NONE <br />3. SECURED PARTY 'S NAME (or NAMEofTOTALASSIGNEE& ASSIGNOR SIP) - insertonly=secured party name (3a or3b) <br />3a. ORGANIZATION'S NAME <br />f Tnited States Small Business Administration <br />UK <br />3b. INDIVIDUAL'S LAST NAME <br />FIRST NAME <br />MIDDLE NAME <br />SUFFIX <br />3c. MAILING ADDRESS <br />CITY <br />STATE <br />POSTAL CODE <br />COUNTRY <br />11145 Mill Valley Road <br />Omaha <br />NE <br />i 68154 <br />USA <br />4. This FINANCING STATEMENT covers the following collateral: <br />All equipment, fixtures, accounts, instruments, chattel paper, general intangibles and other personal property whether now <br />owned or later acquired including proceeds therefrom owned by Debtor or additional Debtor, if any. <br />S. ALTERNATIVE DESIGNATION [if appl <br />6, his INANCING S A M N Is tc <br />ESTATE RECORDS. Attach Adr <br />8. OPTIONAL FILER REFERENCE DATA <br />FILING OFFICE COPY — UCC FINANCING STATEMENT (FORM UCC1) (REV. 05/22102) <br />