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UCC FINANCING STATEMENT ADDITIONAL PARTY <br />FOLLOW INSTRUCTIONS (front and back) CAREFULLY <br />19, NAME OF FIRST DEBTOR 0 a or 1b) ON RELATED FINANCING STATEMENT <br />19a. ORGANIZATION'S NAME <br />OR <br />196. INDIVIDUAL'S LAST NAME FIRST NAME MI[ <br />HORST RONALD ID <br />20. MISCELLANEOUS <br />20040597 - 9 <br />THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY <br />21. ADDITIONAL DEBTOR'S EXACT FULL LEGAL NAME - insert only one name (21a or 21 bl - do not abbreviate or combine names <br />{ <br />21 a. ORGANIZATION'S NAME <br />OR <br />21 b. INDIVIDUAL'S LAST NAME <br />FIRST NAME <br />UCC FINANCING STATEMENT ADDITIONAL PARTY <br />FOLLOW INSTRUCTIONS (front and back) CAREFULLY <br />19, NAME OF FIRST DEBTOR 0 a or 1b) ON RELATED FINANCING STATEMENT <br />19a. ORGANIZATION'S NAME <br />OR <br />196. INDIVIDUAL'S LAST NAME FIRST NAME MI[ <br />HORST RONALD ID <br />20. MISCELLANEOUS <br />20040597 - 9 <br />THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY <br />21. ADDITIONAL DEBTOR'S EXACT FULL LEGAL NAME - insert only one name (21a or 21 bl - do not abbreviate or combine names <br />21 a. ORGANIZATION'S NAME <br />OR <br />21 b. INDIVIDUAL'S LAST NAME <br />FIRST NAME <br />MIDDLE NAME <br />SUFFIX <br />HORST <br />MARGENE <br />L <br />21c. MAILING ADDRESS <br />CITY <br />STATE <br />COUNTRY <br />1726 LARIAT LANE <br />GRAND ISLAND <br />IPOSTALCODE <br />NE <br />68803 <br />USA <br />21 d. SEE INSTRUCTIONS <br />ADD'L INFO RE 121e. TYPE OF ORGANIZATION 21f. JURISDICTION OF ORGANIZATION 21 g. ORGANIZATIONAL ID #, if any <br />ORGANIZATION <br />DEBTOR ❑ NONE <br />22. ADDITIONAL DEBTOR'S EXACT FULL LEGAL NAME - insert only one name 122a or 22bl -do not abbreviate or combine names <br />22a. ORGANIZATION'S NAME <br />OR <br />226. INDIVIDUAL'S LAST NAME <br />FIRST NAME <br />MIDDLE NAME <br />SUFFIX <br />22c. MAILING ADDRESS <br />CITY <br />STATE IPOSTALcobE <br />COUNTRY <br />22d. SEE INSTRUCTIONS <br />ADD'L INFO RE 122e. TYPE OF ORGANIZATION 22f. JURISDICTION OF ORGANIZATION 22g. ORGANIZATIONAL ID #, if any <br />ORGANIZATION <br />DEBTOR I I I ❑ NONE <br />23. ADDITIONAL DEBTOR'S EXACT FULL LEGAL NAME - insert only one name (23a or 23b) -do not abbreviate or combine names <br />23a. ORGANIZATION'S NAME <br />OR <br />236. INDIVIDUAL'S LAST NAME <br />FIRST NAME <br />MIDDLE NAME <br />SUFFIX <br />23c. MAILING ADDRESS <br />CITY <br />STATE <br />POSTAL CODE <br />COUNTRY <br />23d. SEE INSTRUCTIONS <br />ADD'L INFO RE 123e. TYPE OF ORGANIZATION 23f. JURISDICTION OF ORGANIZATION 23g. ORGANIZATIONAL ID #, if any <br />ORGANIZATION <br />DEBTOR I I 1 ❑ NONE <br />24. ADDITIONAL SECURED PARTY'S NAME for Name of TOTAL ASSIGNEE) - insert only one name (24a or 24b) <br />24a. ORGANIZATION'S NAME <br />OR <br />246, INDIVIDUAL'S LAST NAME <br />FIRST NAME <br />MIDDLE NAME <br />SUFFIX <br />24c. MAILING ADDRESS <br />CITY <br />STATE <br />IPOSTALCODE <br />COUNTRY <br />25. ADDITIONAL SECURED PARTY'S NAME (or Name of TOTAL ASSIGNEE) - insert only one name (25a or 25b) <br />25a. ORGANIZATION'S NAME <br />OR <br />256. INDIVIDUAL'S LAST NAME <br />FIRST NAME <br />MIDDLE NAME <br />SUFFIX <br />25c. MAILING ADDRESS <br />CITY <br />STATE <br />POSTAL CODE <br />COUNTRY <br />FILING OFFICE COPY — UCC FINANCING STATEMENT ADDITIONAL PARTY (FORM UCCIAP) (REV. 05/22/02) <br />Bankers Systems, Inc., St, Cloud, MN Form UCC- 1AP -LAZ 1/21/2003 <br />