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200410276
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Last modified
10/16/2011 10:10:57 PM
Creation date
10/21/2005 5:08:14 AM
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200410276
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I11 THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY <br />1. DEBTORS EXACT FULL LEGAL NAME - insert only one debtor name (1a or 1 b) - do not abbreviate or combine names <br />1a. ORGANIZATION'S NAME <br />Hi -Brand GI, Inc. <br />OR 1b. INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE NAME SUFFIX Gb <br />1c. MAILING ADDRESS CITY STATE POSTAL CODE COUNTRY <br />PO Box 1630 Kearney NE 68848 -1630 USA <br />1d. SEE INSTRUCTIONS ADUL INFO RE Ile. TYPE OF ORGANIZATION 1f. JURISDICTION OF ORGANIZATION 1g. ORGANIZATIONAL ID #, if any <br />DEBTOR <br />ORGANIZATION Corporation NE <br />NONE <br />2. ADDITIONAL DEBTORS EXACT FULL LEGAL NAME - insert only one debtor name (2a or 2b) - do not abbreviate or combine names <br />OR 26. INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE NAME SUFFIX <br />2c. MAILING ADDRESS CITY STATE IPOSTALCODE COUNTRY <br />2d. SEE INSTRUCTIONS ADD'L INFO RE 12e. TYPE OF ORGANIZATION 2f. JURISDICTION OF ORGANIZATION 2g. ORGANIZATIONAL ID #, if any <br />ORGANIZATION <br />DEBTOR <br />NONE <br />3. SECURED PARTY'S NAME (or NAME of TOTAL ASSIGNEE of ASSIGNOR S /P) - insert only one secured party name (3a or 3b) <br />3a. ORGANIZATION'S NAME <br />Exchange Bank <br />OR 3b. INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE NAME SUFFIX <br />3c. MAILING ADDRESS CITY STATE POSTAL CODE COUNTRY <br />P.O. Box 760, #14 LaBarre Gibbon NE 68840 USA <br />4. This FINANCING STATEMENT covers the following collateral: <br />All Inventory, Chattel Paper, Accounts, Equipment, General Intangibles, Fixtures, and all Leasehold Improvements; whether any of the <br />foregoing is owned now or acquired later; all accessions, additions, replacements, and substitutions relating to any of the foregoing; all <br />records of any kind relating to any of the foregoing; all proceeds relating to any of the foregoing (including insurance, general intangibles and <br />other accounts proceeds). <br />5. ALTERNATIVE DESIGNATION [if applicable]: LESSEE/LESSOR rl CONSIGNEE/CONSIGNOR I BAILEE/BAILOR I SELLER/BUYER I AG. LIEN I NON -UCC FILING <br />6. This FINANCING STATEMENT is to be filed [for record] (or recorded) in the REAL 7, Check to REQUEST SEARCH REPORTS) on Debtor(s) <br />ESTATE RECORDS. Attach Addendum if applica ble ADDITIONAL FE o tional All Debtors I I Debtor 1 1 1 Debtor 2 <br />8. OPTIONAL FILER REFERENCE DATA <br />Harland Financial Solutions <br />FILING OFFICE COPY — UCC FINANCING STATEMENT (FORM UCC1) (REV. 05/22/02) 400 S.W. 6th Avenue, Portland, Oregon 97204 <br />i <br />rn <br />ra <br />n <br />c a <br />L <br />UCC FINANCING STATEMENT <br />m <br />FOLLOW INSTRUCTIONS front back CAREFULLY <br />n <br />N <br />—1 <br />o <br />C% <br />and <br />A. NAME & PHONE OF CONTACT <br />R, <br />^� <br />AT FILER [optional] <br />\ <br />- <br />N <br />(D <br />B. SEND ACKNOWLEDGMENT TO: (Name and Address) <br />-*1 <br />p <br />,, <br />,� ry <br />►—� <br />(n <br />j'� <br />I <br />rn <br />y <br />r <br />C=) <br />Exchange Bank <br />N <br />P.O. Box 760 <br />�' <br />n <br />CD <br />#14 LaBarre <br />�� <br />--.7 <br />Gibbon, NE 68840 <br />C-1) <br />C73 <br />I�h <br />o <br />I11 THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY <br />1. DEBTORS EXACT FULL LEGAL NAME - insert only one debtor name (1a or 1 b) - do not abbreviate or combine names <br />1a. ORGANIZATION'S NAME <br />Hi -Brand GI, Inc. <br />OR 1b. INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE NAME SUFFIX Gb <br />1c. MAILING ADDRESS CITY STATE POSTAL CODE COUNTRY <br />PO Box 1630 Kearney NE 68848 -1630 USA <br />1d. SEE INSTRUCTIONS ADUL INFO RE Ile. TYPE OF ORGANIZATION 1f. JURISDICTION OF ORGANIZATION 1g. ORGANIZATIONAL ID #, if any <br />DEBTOR <br />ORGANIZATION Corporation NE <br />NONE <br />2. ADDITIONAL DEBTORS EXACT FULL LEGAL NAME - insert only one debtor name (2a or 2b) - do not abbreviate or combine names <br />OR 26. INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE NAME SUFFIX <br />2c. MAILING ADDRESS CITY STATE IPOSTALCODE COUNTRY <br />2d. SEE INSTRUCTIONS ADD'L INFO RE 12e. TYPE OF ORGANIZATION 2f. JURISDICTION OF ORGANIZATION 2g. ORGANIZATIONAL ID #, if any <br />ORGANIZATION <br />DEBTOR <br />NONE <br />3. SECURED PARTY'S NAME (or NAME of TOTAL ASSIGNEE of ASSIGNOR S /P) - insert only one secured party name (3a or 3b) <br />3a. ORGANIZATION'S NAME <br />Exchange Bank <br />OR 3b. INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE NAME SUFFIX <br />3c. MAILING ADDRESS CITY STATE POSTAL CODE COUNTRY <br />P.O. Box 760, #14 LaBarre Gibbon NE 68840 USA <br />4. This FINANCING STATEMENT covers the following collateral: <br />All Inventory, Chattel Paper, Accounts, Equipment, General Intangibles, Fixtures, and all Leasehold Improvements; whether any of the <br />foregoing is owned now or acquired later; all accessions, additions, replacements, and substitutions relating to any of the foregoing; all <br />records of any kind relating to any of the foregoing; all proceeds relating to any of the foregoing (including insurance, general intangibles and <br />other accounts proceeds). <br />5. ALTERNATIVE DESIGNATION [if applicable]: LESSEE/LESSOR rl CONSIGNEE/CONSIGNOR I BAILEE/BAILOR I SELLER/BUYER I AG. LIEN I NON -UCC FILING <br />6. This FINANCING STATEMENT is to be filed [for record] (or recorded) in the REAL 7, Check to REQUEST SEARCH REPORTS) on Debtor(s) <br />ESTATE RECORDS. Attach Addendum if applica ble ADDITIONAL FE o tional All Debtors I I Debtor 1 1 1 Debtor 2 <br />8. OPTIONAL FILER REFERENCE DATA <br />Harland Financial Solutions <br />FILING OFFICE COPY — UCC FINANCING STATEMENT (FORM UCC1) (REV. 05/22/02) 400 S.W. 6th Avenue, Portland, Oregon 97204 <br />
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