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UCC FINANCING STATEMENT ADDENDUM <br />9. NAME OF FIRST DEBTOR (1a or 1b) ON RELATED FINANCING STATEMENT <br />9a. ORGANIZATION'S NAME <br />OR Five Star Quality Care -NE, LLC <br />9b. INDIVIDUAL'S LAST NAME I FIRST NAME IM11 <br />iUai'i16Yd��R:1� Ixeleb^A <br />200505845 <br />L <br />THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY <br />11. ADDITIONAL DEBTOR'S EXACT FULL LEGAL NAME -insert only nee name (41a or 11 b) • do not abbreviate or combine names <br />FILING OFFICE COPY — UCC FINANCING STATEMENT ADDENDUM (FORM UCC1Ad) (REV. 05122/02) <br />11 a. ORGANIZATION'S NAME <br />OR <br />11b. INDIVIDUAL'S LAST NAME <br />FIRST NAME <br />MIDDLE NAME <br />SUFFIX <br />11 c. MAILING ADDRESS <br />CITY <br />STATE <br />POSTAL CODE <br />COUNTRY <br />11 d. SEE INSTRUCTIONS <br />ADDTINFORE I 11s.TYPEOFORGANIZATION <br />11f. JURISDICTION OFORGANIZATION 11g. ORGANIZATIONAL 10 0, If any <br />ORGANIZATION <br />DEBTOR I <br />I I <br />NONE <br />12. <br />Ll ADDITIONAL SECURED PARTY'S yt ASSIGNOR SIP'S <br />NAME - inseRonlymenama(12apr12b) <br />12a. ORGANIZATION'S NAME <br />OR <br />12b, INDIVIDUAL'S LAST NAME <br />FIRST NAME MIDDLE NAME <br />SUFFIX <br />12c. MAILING ADDRESS <br />CITY <br />STATE <br />[IOSTALCODE <br />COUNTRY <br />13. This FINANCING STATEMENT covers timber to be cut or LJ as- extracted <br />15. Additional collateral description: <br />collateral, or is filed as a © fixture filing. <br />14. Description of real estate: <br />See Exhibit A attached hereto and made a part hereof. <br />15. Name and address of a RECORD OWNER of above described real estate <br />(if Debtor does not have a record interest): <br />SPT114S Properties Trust <br />c/o Senior Mousing Properties Trust <br />400 Centre Street <br />17. Chock 2* if applicable and check gp)y one box. <br />Newton, MA 02458 <br />Debtor is a Trust or Trustee acting With respect to property hold in trust or Decedent's Estate <br />18. Check 2LLW if applicable and check galy one box. <br />Debtor is a TRANSMITTING UTILITY <br />Filed in connection With a Manufactured -Home Transaclim -- effective 30 years <br />Fl led In connection with a Publiv Finance Transaction — effectve 30 years <br />FILING OFFICE COPY — UCC FINANCING STATEMENT ADDENDUM (FORM UCC1Ad) (REV. 05122/02) <br />