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UCC FINANCING STATEMENT ADDENDUM 1 200509311 <br />FOLLOW INSTRUCTIONS front and back CAREFULLY <br />9. NAME OF FIRST DEBTOR (1a or 1 b) ON RELATED FINANCING STATEMENT <br />ga. ORGANIZATION'S NAME <br />oR I KS - NE CONF. ASSOC. OF 7TH DAY ADVENTISTS <br />9b, INDIVIDUAL'S LAST NAME I FIRST NAME IMIDDLE NAME,SUFFIX <br />10. MISCELLANEOUS <br />— THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY <br />11. ADDITIONAL DEBTOR'S EXACT FULL LEGAL NAME - insert only one name (11a or 11 b), do not abbreviate or combine names <br />11 a, ORGANIZATION'S NAME <br />UK <br />Inrernatlonal Assoclawn Or l.Ommercial AaminlsrraturS oAI-,A) <br />FILING OFFICE COPY — UCC FINANCING STATEMENT ADDENDUM (FORM UCC1Ad) (REV. 05122102) <br />�11 b. INDIVIDUAL'S LAST NAME <br />FIRST NAME <br />MIDDLE NAME <br />SUFFIX <br />11 c. MAILING ADDRESS <br />CITY <br />STATE <br />P <br />COUNTRY <br />11d. SEE INSTRUCTIONS <br />ADUL INFO RE 1 110. TYPE OF ORGANIZATION <br />11f. JURISDICTION OF ORGANIZATION 11g. ORGANIZATIONAL ID #, if any <br />IORGANIZATION <br />DEBTOR I <br />12. <br />ADDITIONAL SECURED PARTY'S x ASSIGNORS /P'S <br />NAME - insert only one name (12aor12b) <br />12a. ORGANIZATION'S NAME <br />OR <br />12b. INDIVIDUAL'S LAST NAME <br />FIRST NAME <br />MIDDLE NAME <br />SUFFIX <br />12c. MAILING ADDRESS <br />CITY <br />STATE <br />P <br />COUNTRY <br />13. This FINANCING STATEMENT covers ❑ timber to be cut or as- extracted <br />16. Additional collateral description: <br />collateral, or Is filed as a ® fixture filing. <br />14, Description of real estate: <br />SE.1 /4 SECTION30- T10N -R12 W <br />HALL COUNTY, NEBRASKA <br />15. Name and address of a RECORD OWNER of above - described real estate <br />(if Debtor does not have a record interest): <br />KS - NE CONFERENCE ASSOCIATION OF <br />17. Check 2g(y if applicable and check gIL one box. <br />SEVENTH DAY ADVENTISTS <br />Debtor is a Trust or n Trustee acting with respect to property held in trust or Decedents <br />Estate <br />18. Check 201y if applicable and check nnty one box. <br />Debtor is a TRANSMITTING UTILITY <br />FIFiled in connection with a Manufactured -Home Transaction — effective 30 years <br />HALL COUNTY, NE LOAN # 1705 <br />Filed in connection with a Public- Finance Transaction — effective 30 years <br />Inrernatlonal Assoclawn Or l.Ommercial AaminlsrraturS oAI-,A) <br />FILING OFFICE COPY — UCC FINANCING STATEMENT ADDENDUM (FORM UCC1Ad) (REV. 05122102) <br />