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<br />UCC FINANCING STATEMENT ADDENDUM <br />FOLLOW INSTRUCTIONS (front and back) CAREFUllY <br />9. NAME OF FIRST OEBTOR (la or lb) ON RELATED FINANCING STATEMENT <br /> 9a. ORGANIZATION'S NAME 200604883 <br />OR THE BRIDAL COLLECTION, L.L.C. <br /> 9b. INDIVIDUAl'S LAST NAME I FIRST NAME I MIDDLE NAME. SUFFIX <br />10. MISCEllANEOUS: <br /> THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY <br /> <br />11. ADDITIONAL DEBTOR'S EXACT FULL lEGAL NAME - insert only one name (11 a or 11 b) - do not abbreviate or combine names <br /> <br /> - <br /> 11 a_ ORGANIZATION'S NAME <br />OR <br /> , , b_ INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE NAME_ SUFFIX <br /> GLOCK STACY <br />11 o. MAiliNG ADDRESS CITY STATEI7ST~L CODE COUNTRY <br />-:3'2 0 7 DIXIE S)UARE GRAND ISLAND NE68B03 <br />lld. TAX 10 #: SSN OR EIN AOO'l INFO RE 111e. TYPE OF ORGANIZATION 111_ JURISDICTION OF ORGANIZATION '19. ORGANIZATIONAL 10 #. if any <br /> ORGANIZATION I I I <br /> DEBTOR [X] NONE <br /> <br />12. 0 ADDITIONAL SECURED PARTY'S Q!: <br /> <br />o ASSIGNOR SIP'S NAME - insert only one neme (12a or 12b) <br /> <br /> , 2a. ORGANIZATION'S NAME <br />OR <br /> 12b_ INDIVIDUAL'S lAST NAME FIRST NAME MIDDLE NAME SUFFIX <br />1 20. MAILING ADDRESS CITY STATE I POSTAL CODE COUNTRY <br />13. This FINANCING STATEMENT covers D timber to be cut or 16. Additional collateral description: <br />c::J as-extracted collateral. or is filed as a [X] fixture filing. <br />14. Description of real estate: <br />PARK ISLAND SQUARE SIXTH SUB LT 2 (PERTAINS TO <br />SUITE 120 & 122) , GRAND ISLAND, NE 68803 <br />15_ Nama and address of a RECORD OWNER of above-describad raal astate <br /> Of Debtor does not have a record interest}: <br />MID-COUNTRY TRADING LLC, -- 17_ Chack 2!!!Y if applicable and check 2!!!Y one box. <br /> Debtor is a D Trust or D Trustee acting with respect to property held in trust or <br /> D Decedent's Estata <br /> 18. Chack Q!:!!y if applicable and check 2!!!Y one box. <br /> D Debtor is a TRANSMITTING UTILITY <br /> D Filed in connection with a Manufactured-Home Transaction - - effective 30 years <br /> D Filed in connection with a Public-Finance Transaction - - effective 30 years <br /> <br />ACKNOWLEDGMENT COPY -- NATIONAL UCC FINANCING STATEMENT ADDENDUM (FORM UCC1Ad) (REV. 07/29/98) <br />G .C562 10108}.03 VMP MORTGAGE FORMS 1800)521-7291 Bankers Systems. Inc.. St. Cloud. MN Form UCC-1ADD-lAZ 5/30/2001 <br /><!> <br />