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�..�.� <br />1 a. ORGANIZATION'S NAME <br />;10 <br />'T1 <br />(See Addendum I attached hereto and made a part hereof.) <br />3b. INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE NAME SUFFIX <br />OR <br />2 <br />> <br />MIDDLE NAME SUFFIX <br />1c. MAILINGADbRE55 <br />CITY <br />STATE <br />POSTAL CODE <br />.I� <br />400 Centre Street <br />C <br />MA <br />02458 <br />M <br />CA <br />ADD'LINFORE 1e. TYPE OF ORGANIZATION <br />1f, JURISDICTION OF ORGANIZATION <br />1g. ORGANIZATIONAL ID #,ifany <br />ORGANIZATION <br />ORGANIZATION <br />DEBTOR LLC <br />Delaware <br />3141204 NONE <br />DEBTOR <br />NONE <br />n <br />7r <br />r_a'-r <br />C�) —1 <br />a <br />> <br />CA <br />--4 <br />cv <br />CD <br />C9 parr <br />C� <br />� <br />_Ti <br />cn — <br />( <br />Cn wI,I.IO■ <br />: FINANCING STATEMENT <br />' <br />'0" <br />Cn <br />DW INSTRUCTIONS front and back CAREFULLY <br />11 <br />C7D <br />WE & PHONE OF CONTACT AT FILER [optional] <br />f---a <br />N <br />w-r <br />CA) <br />(Al <br />CP1 <br />P'h <br />.Z <br />Q <br />ND ACKNOWLEDGMENT TO: (Name and Address) <br />r <br />I <br />a. Env. <br />Direr Services <br />2727 Allen P(trkwfay, <br />Suite 1000 <br />HOUSton, Texas 77019 <br />__ - - -- THE <br />1, DEBTOR'S EXACT FULL LEGAL NAME- InsertonlvonedebtornamaMaar1b 1.donetabis viatenrcnmhlnanamac <br />VE SPACE IS FOR FILING OFFICE USE ONLY <br />Z. ADDITIONAL Ut8 I U K'S EXACT FULL LEGAL NAME . insert cnly nne d.hmr name na - r,l , do n. tiw Y i t ,,r -Wn. —.a <br />1 a. ORGANIZATION'S NAME <br />OR <br />(See Addendum I attached hereto and made a part hereof.) <br />3b. INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE NAME SUFFIX <br />OR <br />Five Star Quality Care -NE, LLC <br />1 b. INDIVIDUAL'S LAST NAME <br />FIRST NAME <br />MIDDLE NAME SUFFIX <br />1c. MAILINGADbRE55 <br />CITY <br />STATE <br />POSTAL CODE <br />COUNTRY <br />400 Centre Street <br />Newton <br />MA <br />02458 <br />USA. <br />id. IS <br />ADD'LINFORE 1e. TYPE OF ORGANIZATION <br />1f, JURISDICTION OF ORGANIZATION <br />1g. ORGANIZATIONAL ID #,ifany <br />ORGANIZATION <br />ORGANIZATION <br />DEBTOR LLC <br />Delaware <br />3141204 NONE <br />Z. ADDITIONAL Ut8 I U K'S EXACT FULL LEGAL NAME . insert cnly nne d.hmr name na - r,l , do n. tiw Y i t ,,r -Wn. —.a <br />3.5f= GL1KF•U PAR IY'SNAIMFf— MAeep..rtnTA1 Acclrhlrc..recc1r.61na cro1. <br />2a. ORGANIZATION'S NAME <br />OR <br />(See Addendum I attached hereto and made a part hereof.) <br />3b. INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE NAME SUFFIX <br />OR <br />2b. INDIVIDUAL'S LAST NAME <br />STATE <br />P <br />COUNTRY <br />FIRST NAME <br />MIDDLE NAME SUFFIX <br />2C, MAILING ADDRESS <br />CRY <br />STATE <br />POSTAL CODE <br />COUNTRY <br />2d. SEE INSTRUCTIONS <br />AOUL INFO RE 12e. TYPE OF ORGANIZATION <br />2f. JURISDICTION OF ORGANIZATION <br />2g. ORGANIZATIONAL ID;V, if any <br />ORGANIZATION <br />DEBTOR <br />NONE <br />3.5f= GL1KF•U PAR IY'SNAIMFf— MAeep..rtnTA1 Acclrhlrc..recc1r.61na cro1. <br />.. 1 M5 NNANUINU 61 A I CMGN I CWerS the tOIIOWIrIg COXeteral. <br />All of the property described on Exhibit B (but expressly excluding the Excluded Collateral, as defined on Exhibit B) and located on or related to the real property <br />described on Exhibit A, Exhibits A and B being attached hereto and made a part hereof. <br />S. ALTERNATIVE D95IGNATION [if applicable]: ]LESSEE/LESSOR I CONSIGNEEICONSIGNOR BAILEESAILOR I SELLER/BUYER I AG. LIEN NON -UCC FILING <br />This FINANCING 6 1 A I hNIEN I 1s to be Tiled [for record) (or recorded) in the REAL eG 10 H R O T(SJ on btor(s) <br />WATATC AFr nPMQ A—h AAAnndum r'rf ann16 -x61.1 'rsnmmMual PPM r,,..ri..,,an All Debtors Debtarl Debtor2 <br />8. OPTIONAL FILER REFERENCE DATA <br />For Filing with the Hall County, Nebraska Recorder's Office. (18900.0040) <br />FILING OFFICE COPY — UCC FINANCINGS STATEMENT (FORM UCC1) (REV. 05/22/02) <br />M, <br />3a. ORGANIZATION'S NAME <br />OR <br />(See Addendum I attached hereto and made a part hereof.) <br />3b. INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE NAME SUFFIX <br />3c, MAILINGADDRESS <br />CITY <br />STATE <br />P <br />COUNTRY <br />.. 1 M5 NNANUINU 61 A I CMGN I CWerS the tOIIOWIrIg COXeteral. <br />All of the property described on Exhibit B (but expressly excluding the Excluded Collateral, as defined on Exhibit B) and located on or related to the real property <br />described on Exhibit A, Exhibits A and B being attached hereto and made a part hereof. <br />S. ALTERNATIVE D95IGNATION [if applicable]: ]LESSEE/LESSOR I CONSIGNEEICONSIGNOR BAILEESAILOR I SELLER/BUYER I AG. LIEN NON -UCC FILING <br />This FINANCING 6 1 A I hNIEN I 1s to be Tiled [for record) (or recorded) in the REAL eG 10 H R O T(SJ on btor(s) <br />WATATC AFr nPMQ A—h AAAnndum r'rf ann16 -x61.1 'rsnmmMual PPM r,,..ri..,,an All Debtors Debtarl Debtor2 <br />8. OPTIONAL FILER REFERENCE DATA <br />For Filing with the Hall County, Nebraska Recorder's Office. (18900.0040) <br />FILING OFFICE COPY — UCC FINANCINGS STATEMENT (FORM UCC1) (REV. 05/22/02) <br />M, <br />