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UCC FINANCING STATEMENT <br />FOLLOW INSTRUCTIONS (front and back) CAREFULLY <br />A. NAME 8 PHONE OF CONTACT AT FILER [optional] <br />B. SEND ACKNOWLEDGEMENT TO: (Name and Address) <br />�— Ret. Env. m.>n>' <br />United Nebraska Bank <br />PO Box 5018 <br />Grand Island, NE 68802 <br />0 � <br />1. DEBTOR'S EXACT FULL LEGAL NAME - insert <br />1a. ORGANIZATION'S NAME <br />Heakh Plex Fitness Center, Inc. <br />OR 1 b. INDIVIDUAL'S LAST NAME <br />debtor name (1 a or 1 b) - do not abbreviate or combine names <br />FIRST NAME <br />MIDDLE NAME I SUFFIX <br />tc. MAILING ADDRESS CITY rN TE POSTAL CODE COUNTRY <br />2909 W Hwy 30 Grand Island 68803 USA <br />_j <br />td. TAX ID #: SSN OR EIN ADD'L INFO RE 1e. TYPE OF ORGANIZATION 1f. JURISDICTION OF ORGANIZATION ORGANIZATIONAL ID #, 0 any <br />ORGANIZATION <br />DEBTOR or P C oration NE <br />N <br />2. ADDITIONAL DEBTOR'S EXACT FULL LEGAL NAME - insert only one debtor name (2a or 2b) - do not abbreviate or combine names <br />2a. ORGANIZATION'S NAME <br />OR 2b. INDIVIDUAL'S LAST NAME <br />Norton <br />2c. MAILING ADDRESS <br />3008 S Blaine <br />2d. TAX ID #: SSN OR EIN I ADD'L INFO RE 12e. TYPE OF ORGANIZATION <br />ORGANIZATION <br />DEBTOR ' Individual <br />3. SECURED PARTY'S NAME (or NAME of TOTAL ASSIGNEE of ASSIGNOR <br />3a. ORGANIZATION'S NAME <br />United Nebraska Bank <br />OR 3b. INDIVIDUAL'S LAST NAME <br />FIRST NAME <br />Brian <br />Grand Island <br />!f. JURISDICTION OF ORGANIZATION <br />insert only one secured party name (3a or <br />FIRST NAME <br />MIDDLE NAME SUFFIX <br />Scott <br />STATE I POSTAL CODE COUNTRY <br />NE 68803 USA <br />2g. ORGANIZATIONAL ID #, if any <br />MIDDLE NAME I SUFFIX <br />NONE <br />3c. MAILING ADDRESS CITY STATE POSTAL CODE COUNTRY <br />PO Box 5018 Grand Island NE 68802 <br />4. This FINANCING STATEMENT covers the following collateral: <br />All assets of the Grantors, including but not limited to the following: All Inventory, Chattel Paper, Accounts, Equipment, General Intangibles <br />and Fixtures; whether any of the foregoing is owned now or acquired later; all accessions, additions, replacements, and substitutions relating <br />to any of the foregoing; all records of any kind relating to any of the foregoing; all proceeds relating to any of the foregoing (including <br />insurance, general intangibles and other accounts proceeds) <br />5. ALTERNATIVE DESIGNATION rif a licable : LESSEE/LESSOR 171CONSIGNEE/CONSIGNOR HBAILEEtBAILOR SELLER/BUYER AG. LIEN NON -UCC FILING <br />6. INThis FINANCING STATEMENT is to be filed [for record] (or recorded) in the REAL 7 Check to REQUEST SEARCH REPORTS) on Debtors) <br />AT RECORDS. A d nd m li I A Ri NA All Debtors uDebtorl Debtor 2 <br />8. OPTIONAL FILER REFERENCE DATA <br />Harland Financial Solutions <br />FILING OFFICE COPY — NATIONAL UCC FINANCING STATEMENT (FORM UCC1) (REV. 07/29/98) 400 S.W. 6th Avenue, Portland, Oregon 97204 <br />m <br />= <br />D <br />0 <br />rq <br />M <br />(A <br />n <br />C <br />• rTI <br />CD <br />a <br />Q. <br />rrn <br />D <br />cn <br />N <br />CA <br />rri <br />T- <br />co <br />\ <br />CD y <br />Cn <br />N <br />CJl (n <br />CD <br />u7 <br />OZ <br />200311055 <br />THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY <br />debtor name (1 a or 1 b) - do not abbreviate or combine names <br />FIRST NAME <br />MIDDLE NAME I SUFFIX <br />tc. MAILING ADDRESS CITY rN TE POSTAL CODE COUNTRY <br />2909 W Hwy 30 Grand Island 68803 USA <br />_j <br />td. TAX ID #: SSN OR EIN ADD'L INFO RE 1e. TYPE OF ORGANIZATION 1f. JURISDICTION OF ORGANIZATION ORGANIZATIONAL ID #, 0 any <br />ORGANIZATION <br />DEBTOR or P C oration NE <br />N <br />2. ADDITIONAL DEBTOR'S EXACT FULL LEGAL NAME - insert only one debtor name (2a or 2b) - do not abbreviate or combine names <br />2a. ORGANIZATION'S NAME <br />OR 2b. INDIVIDUAL'S LAST NAME <br />Norton <br />2c. MAILING ADDRESS <br />3008 S Blaine <br />2d. TAX ID #: SSN OR EIN I ADD'L INFO RE 12e. TYPE OF ORGANIZATION <br />ORGANIZATION <br />DEBTOR ' Individual <br />3. SECURED PARTY'S NAME (or NAME of TOTAL ASSIGNEE of ASSIGNOR <br />3a. ORGANIZATION'S NAME <br />United Nebraska Bank <br />OR 3b. INDIVIDUAL'S LAST NAME <br />FIRST NAME <br />Brian <br />Grand Island <br />!f. JURISDICTION OF ORGANIZATION <br />insert only one secured party name (3a or <br />FIRST NAME <br />MIDDLE NAME SUFFIX <br />Scott <br />STATE I POSTAL CODE COUNTRY <br />NE 68803 USA <br />2g. ORGANIZATIONAL ID #, if any <br />MIDDLE NAME I SUFFIX <br />NONE <br />3c. MAILING ADDRESS CITY STATE POSTAL CODE COUNTRY <br />PO Box 5018 Grand Island NE 68802 <br />4. This FINANCING STATEMENT covers the following collateral: <br />All assets of the Grantors, including but not limited to the following: All Inventory, Chattel Paper, Accounts, Equipment, General Intangibles <br />and Fixtures; whether any of the foregoing is owned now or acquired later; all accessions, additions, replacements, and substitutions relating <br />to any of the foregoing; all records of any kind relating to any of the foregoing; all proceeds relating to any of the foregoing (including <br />insurance, general intangibles and other accounts proceeds) <br />5. ALTERNATIVE DESIGNATION rif a licable : LESSEE/LESSOR 171CONSIGNEE/CONSIGNOR HBAILEEtBAILOR SELLER/BUYER AG. LIEN NON -UCC FILING <br />6. INThis FINANCING STATEMENT is to be filed [for record] (or recorded) in the REAL 7 Check to REQUEST SEARCH REPORTS) on Debtors) <br />AT RECORDS. A d nd m li I A Ri NA All Debtors uDebtorl Debtor 2 <br />8. OPTIONAL FILER REFERENCE DATA <br />Harland Financial Solutions <br />FILING OFFICE COPY — NATIONAL UCC FINANCING STATEMENT (FORM UCC1) (REV. 07/29/98) 400 S.W. 6th Avenue, Portland, Oregon 97204 <br />