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UCC FINANCING STATEMENT ADDENDUM <br />FOLLOW INSTRUCTIONS (front and back) CAREFULLY <br />9. NAME OF FIRST DEBTOR (1a or 1b) ON RELATED FINANCING STATEMENT <br />9a. ORGANIZATION'S NAME <br />OR <br />9b. INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE N. <br />SULLIVAN R MARK <br />10. MISCELLANEOUS: <br />10 <br />200509393 <br />THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY <br />I I. AUDI I IUNAL urn I Url'.l LAA(; I FULL LLUAL NAME -insert only one name Ill a or l lb) -do not abbreviate or combine names <br />1 la. ORGANIZATION'S NAME <br />OR <br />11b. INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE NAME <br />11c. MAILING ADDRESS CITY STATE POSTAL CODE <br />11d. TAX ID M: SSN OR EIN A INFO RE 119 TYPE OF ORGANIZATION 11f. JURISDICTION OF ORGANIZATION l lg. ORGANIZATIONAL ID A`, if any <br />ORGANIZATION <br />DEBTOR <br />12, ADDITIONAL SECURED PARTY'S or ASSIGNOR 5 /P'S NAME - insert only one name (12a or 12b) <br />12a. ORGANIZATION'S NAME <br />OR <br />12b. INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE NAME <br />12c. MAILING ADDRESS I CITY ISTATE 1POSTALCODE <br />13. This FINANCING STATEMENT covers ❑ timber to be cut or ❑ as- extracted 16. Additional collateral description <br />collateral, or is filed as a N fixture filing. <br />14, Description of real estate: <br />SEE ATTACHED EXHIBIT "A" <br />15. Name and address of a RECORD OWNER of above - described real estate <br />(if Debtor does not have a record interest): <br />SUFFIX <br />COUNTRY <br />® NONE <br />SUFFIX <br />17. Check only if applicable and check only one box. <br />Debtor is a ❑ Trust or ❑ Trustee acting with respect to property held in trust or ❑ Decedent's Estate <br />18. Check only if applicable and check only one box. <br />❑ Debtor is a TRANSMITTING UTILITY <br />❑ Filed in connection with a Manufactured -Home Transaction -- effective 30 years <br />❑ Filed in connection with a Public - Finance Transaction -- effective 30 years <br />FILING OFFICE COPY —NATIONAL UCC FINANCING STATEMENT ADDENDUM (FORM UCC1Ad) (REV. 07/29/981 Ltankers systems, Inr.., tit. Cloud, MN Form 0Ca1ADD4 A7 5/30/2001 <br />