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M <br />n <br />c <br />z <br />ZC Nv <br />LICC FINANCING STATEMENT <br />A. NAME & PHONE OF CONTACT AT FILER [optional] <br />B. SEND ACKNOOLEDG O: (Name and Address) <br />FLEXIS DOCUMENT SERVICES INC <br />PO BOX 2969 <br />SPRINGFIELD, IL 62708 <br />M � <br />a <br />I <br />i, <br />II THE ABC <br />1. DEBTOR'S EXACT FULL LEGAL NAME - insert only me debtor name (1a or 1 b) - do not abbreviate or combine names <br />to ORGANIZATION'S NAME <br />ENVISION OPEN MRI, L.L.C. <br />OR tb. INDIVIDUAL'S IAST NAME I FIRST NAME <br />FILING OFFICE USE ONLY <br />MIDDLE NAME <br />WE"071 <br />f V F?" <br />o CD <br />o C=6 <br />ry <br />CD <br />F--` C <br />co <br />co <br />o <br />ca 4 <br />-t <br />1c. MAILINU AUUKESti CITY STATE POSTAL CODE COUNT <br />1645 N STREET, SUITE E LINCOLN NE 68508 USA <br />td. TAX ID # SSN OR EIN ADD'NL INFO RE 1e. TYPE OF ORGANIZATION 1f. JURISDICTION OF ORGANIZATION tg. ORGANIZATIONAL ID #, if any <br />47- 0844480 ORGANIZATION LLC NE <br />DEBTOR <br />2 ADDITIONAL DEBTOR'S EXACT FULL LEGAL NAME - insert only ane debtor name (23 or 21b) - do not abbreviate or combine names <br />,2a. ORGANIZATION'S NAME <br />0 R �bl N'DI VIDLIAL'S LnST "AME I FIRST NAME IMIDDLE NAME SUFFIX <br />STATE IPOSTALCODE <br />2d. -TAX ID # SSN OR EIN I ADD'NL INFO REI2e. TYPE OF ORGANIZATION I2f. JURISDICTION OF ORGANIZATION 12g. ORGANIZATIONAL ID #, if any <br />ORGANIZATION <br />DEBTOR [ [ [ NONE <br />3. SECURED PARTY'S NAME_ (or NAME of TOTAL ASSIGNEE of ASSIGNOR S /P) -insert only me secured party name (3a or 3b) <br />13a. ORGANIZATION'S NAME <br />OR <br />3c. MAILING ADDRESS CITY STATE POSTAL CODE COUNTR <br />— 180 E. FIFTH STREET SAINT PAUL MN 55101 USA <br />A. This FINANCING STATEMENT covers the following collateral: <br />Debtor hereby grants to Secured Party a lien on, and security interest in, all of <br />Debtor's right, title and interest in and to the goods described on the Attachment (s) <br />hereto, together with all parts, accessories, attachments, accessions, additions, <br />replacements, and substitutions incorporated therein or affixed or attached thereto and <br />all income, proceeds and products thereof. <br />This is a fixture filing to be filed in the real estate records. <br />5. ALTERNATIVE DESIGNATION if applicable: LESSEE/LESSOR I CONSIGN EE/CONSIGNOR BAILEE /BAILOR LJSELLERIBUYER AG LIEN I INON-UCC FILING <br />b. I,, This FINANCING STATEMENT is to be filed (for record) (or records)) in the REAL 7. Check to REQUEST SEARCH REPORT(S) on Debtor(s) All Debtors Debtor 1 Debtor 2 <br />^LJESTATE RECORDS Attach Addendum fit aoolicablel [ADDITIONAL FEE] foolionall <br />8. OPTIONAL FILER REFERENCE DATA <br />NE--Hall County EQUIP - 3167- 1 /2 /3 /�7 -DPM <br />LexisNexis Document Solutions <br />FILING OFFICE COPY- NATIONAL UCC FINANCING STATEMENT (FORM UCC1) (REV. 07/29/98) 801 Adlai Stevenson or <br />Springfield, IL 62703 -0261 <br />0 <br />l <br />C-.) cr) <br />ry <br />o <br />Tl <br />� <br />m <br />Q' <br />-< O <br />CD <br />-n <br />7: F' ; <br />Cn <br />l'. <br />N <br />3' <br />�y <br />o <br />t`::D <br />W <br />FILING OFFICE USE ONLY <br />MIDDLE NAME <br />WE"071 <br />f V F?" <br />o CD <br />o C=6 <br />ry <br />CD <br />F--` C <br />co <br />co <br />o <br />ca 4 <br />-t <br />1c. MAILINU AUUKESti CITY STATE POSTAL CODE COUNT <br />1645 N STREET, SUITE E LINCOLN NE 68508 USA <br />td. TAX ID # SSN OR EIN ADD'NL INFO RE 1e. TYPE OF ORGANIZATION 1f. JURISDICTION OF ORGANIZATION tg. ORGANIZATIONAL ID #, if any <br />47- 0844480 ORGANIZATION LLC NE <br />DEBTOR <br />2 ADDITIONAL DEBTOR'S EXACT FULL LEGAL NAME - insert only ane debtor name (23 or 21b) - do not abbreviate or combine names <br />,2a. ORGANIZATION'S NAME <br />0 R �bl N'DI VIDLIAL'S LnST "AME I FIRST NAME IMIDDLE NAME SUFFIX <br />STATE IPOSTALCODE <br />2d. -TAX ID # SSN OR EIN I ADD'NL INFO REI2e. TYPE OF ORGANIZATION I2f. JURISDICTION OF ORGANIZATION 12g. ORGANIZATIONAL ID #, if any <br />ORGANIZATION <br />DEBTOR [ [ [ NONE <br />3. SECURED PARTY'S NAME_ (or NAME of TOTAL ASSIGNEE of ASSIGNOR S /P) -insert only me secured party name (3a or 3b) <br />13a. ORGANIZATION'S NAME <br />OR <br />3c. MAILING ADDRESS CITY STATE POSTAL CODE COUNTR <br />— 180 E. FIFTH STREET SAINT PAUL MN 55101 USA <br />A. This FINANCING STATEMENT covers the following collateral: <br />Debtor hereby grants to Secured Party a lien on, and security interest in, all of <br />Debtor's right, title and interest in and to the goods described on the Attachment (s) <br />hereto, together with all parts, accessories, attachments, accessions, additions, <br />replacements, and substitutions incorporated therein or affixed or attached thereto and <br />all income, proceeds and products thereof. <br />This is a fixture filing to be filed in the real estate records. <br />5. ALTERNATIVE DESIGNATION if applicable: LESSEE/LESSOR I CONSIGN EE/CONSIGNOR BAILEE /BAILOR LJSELLERIBUYER AG LIEN I INON-UCC FILING <br />b. I,, This FINANCING STATEMENT is to be filed (for record) (or records)) in the REAL 7. Check to REQUEST SEARCH REPORT(S) on Debtor(s) All Debtors Debtor 1 Debtor 2 <br />^LJESTATE RECORDS Attach Addendum fit aoolicablel [ADDITIONAL FEE] foolionall <br />8. OPTIONAL FILER REFERENCE DATA <br />NE--Hall County EQUIP - 3167- 1 /2 /3 /�7 -DPM <br />LexisNexis Document Solutions <br />FILING OFFICE COPY- NATIONAL UCC FINANCING STATEMENT (FORM UCC1) (REV. 07/29/98) 801 Adlai Stevenson or <br />Springfield, IL 62703 -0261 <br />0 <br />