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K. <br />UCC FINANCING STATEMENTADDITIONAL PARTY <br />FOLLOW INSTRUCTIONS (front and back) CAREFULLY <br />19. NAME OF FIRST DEBTOR (1a or 1b) ON RELATED FINANCING STATEMENT <br />19a. ORGANIZATION'S NAME <br />OR DOUBLE H PARTNERSHIP <br />19b. INDIVIDUAL'S LAST NAME ]FIRSTNAME MID <br />20. MISCELLANEOUS: <br />21, ADDITIONAL DEBTOR'S EXACT FULL LEGAL NAME - insert <br />21 a. ORGANIZATION'S NAME <br />'76 <br />THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY <br />name (21a or 21 b) - do not abbreviate or combine names <br />OR <br />21 b. INDIVIDUAL'S LAST NAME <br />FIRST NAME <br />MIDDLE NAME <br />SUFFIX <br />FIRST NAME <br />HAPPOLD <br />RYAN <br />WILLIAM <br />CITY <br />21c. MAILING ADDRESS <br />CITY CITY <br />S7TTATE <br />23d. SEE INSTRUCTIONS <br />COUNTRY <br />207 E PINE STREET <br />�� �V �� <br />O <br />IPOSTALCODE <br />IZ <br />FO RE 121e. TYPE OF ORGANIZATION 21Df. JURISDICTION OF ORGANIZATION 21g. ID #, if any <br />ORGANIZATION <br />DEBTOR I I I NONE <br />22. ADDITIONAL DEBTOR'S EXACT FULL LEGAL NAME -insert only= name (22a or 22b) -do not abbreviate or combine names <br />U8. ORGANIZATION'S NAME <br />OR <br />22b. INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE NAME SUFFIX <br />HAPPOLD SHENTELL LYNN <br />22c. MAILING ADDRESS <br />CITY <br />STATE <br />POSTAL CODE <br />COUNTRY <br />207 E PINE STREET <br />DONIPHAN <br />NE <br />68832 <br />22d. SEEINSTRUCTIONS <br />ADD'L INFO RE 122a. 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 r23a or 23b1 - do not abbreviate or combine names <br />24. ADDITIONAL SECURED PARTY'S NAME (or Name of TOTAL ASSIGNEE) -insert only= name (24a or 24b) <br />24a. ORGANIZATION'S NAME <br />OR 24b. INDIVIDUAL'S LAST NAME FIRST NAME <br />24c, MAILING ADDRESS CITY <br />25. ADDITIONAL SECURED PARTY'S NAME (or Name of TOTAL ASSIGNEE) - insert only = name (25a or 25b) <br />25a. ORGANIZATION'S NAME <br />OR 25b. INDIVIDUAL'S LAST NAME FIRST NAME <br />25c. MAILING ADDRESS CITY <br />FILING OFFICE COPY — UCC FINANCING STATEMENT ADDITIONAL PARTY (FORM UCC1AP) (REV. 05122102) <br />POSTAL CODE <br />COUNTRY <br />SUFFIX <br />23a. ORGANIZATION'S NAME <br />OR <br />23b. INDIVIDUAL'S LAST NAME <br />FIRST NAME <br />MIDDLE NAME <br />SUFFIX <br />23c, MAILING ADDRESS <br />CITY <br />STATE <br />P <br />COUNTRY <br />23d. SEE INSTRUCTIONS <br />ADD'L INFO RE 123e. TYPE OF ORGANIZATION 23f. JURISDICTION OF ORGANIZATION <br />ORGANIZATION <br />DEBTOR I I <br />23g. ORGANIZATIONAL ID #, if any <br />L 'NONE <br />24. ADDITIONAL SECURED PARTY'S NAME (or Name of TOTAL ASSIGNEE) -insert only= name (24a or 24b) <br />24a. ORGANIZATION'S NAME <br />OR 24b. INDIVIDUAL'S LAST NAME FIRST NAME <br />24c, MAILING ADDRESS CITY <br />25. ADDITIONAL SECURED PARTY'S NAME (or Name of TOTAL ASSIGNEE) - insert only = name (25a or 25b) <br />25a. ORGANIZATION'S NAME <br />OR 25b. INDIVIDUAL'S LAST NAME FIRST NAME <br />25c. MAILING ADDRESS CITY <br />FILING OFFICE COPY — UCC FINANCING STATEMENT ADDITIONAL PARTY (FORM UCC1AP) (REV. 05122102) <br />POSTAL CODE <br />COUNTRY <br />SUFFIX <br />