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N S S 0'> S 0'> ex> 0'> S '" m on c: n Z ~~~ nc.n ~~ n ~ :I: m c.n n :I: " r'U ~ (~ (.;,~ ("') (,I) oS" >'- CT;> 0 -i C> c: 1~ N8. ::0 ~ \', ---.J :z -i . c.:: -i rTl \J\ (T) ~ C-;> ~G- G") ~-- -< 0 \) <:::, 0 "'TJ <:::> -.., N "'T1 - r z ~~ I:;:' :r Pl (T) :::n 1>- en (T) ::3 r- ;;0 0 r 1>- 0)3 (fJ """" (f) I .- ^ ~ l> I"\:) --..-. '--' -S:: en ~ en (Name and Address) 20854699 Prepared by: R.d Vrw- Diligenz, Inc. 6500 Harbour Heights Pkwy, Suite 400 Mukilteo, WA 98275 L Filed In: Nebraska H~ / a ,5-0 THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY 1. DEBTOR'S EXACT FULL LEGAL NAME - insert only llllil deblor name (1a or 1b) - do not abbreviate or combine names 1a. ORGANIZATION'S NAME T & J Tires and Associates, LLC OR 1b. INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE NAME SUFFIX 1 c. MAILING ADDRESS CITY STATE I POSTAL CODE COUNTRY 2135 North Diers Avenue Grand Island NE 68802 USA 1d. TAX ID #: SSN OR EIN I ADD'L INFO RE 11e. TYPE OF ORGANIZATION 11, JURISDICTION OF ORGANIZATION 19, ORGANIZATIONAL 10 #, rt any ORGANIZATION LLC I NE 110051215 n NONE DEBTOR I 2. ADDITIONAL DEBTOR'S EXACT FULL LEGAL NAME - Insert only QOll debtor name (2a or 2b) - do not abbreviate or comblna names 2a. ORGANIZATION'S NAME OR 2b. INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE NAME SUFFIX 2c. MAILING ADDRESS CITY STATE IPOSTAlCODE COUNTRY 2d, TAX 10 #: SSN OR EIN I ADD'l INFO RE 12e, TYPE OF ORGANIZATION 21, JURISDICTION OF ORGANIZATION 2g, ORGANIZATIONAL ID #. if any ORGANIZATION n NONE DEBTOR I I I 3. SECURED PARTY'S NAME (or NAME of TOTAL ASSIGNEE of ASSIGNOR SIP). insert only QIle. secured party name (3a or 3b) 3a. ORGANIZATION'S NAME Big 0 Tires, Inc. OR 3b. INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE NAME SUFFIX 3c. MAILING ADDRESS CITY STATE IPOSTAL CODE COUNTRY 12650 East Briarwood Avenue, Suite 2D Centennial CO 80112 USA 4. This FINANCING STATEMENT covers the following collateral: All INVENTORY, ACCOUNTS RECEIVABLE, EQUIPMENT, FURNITURE AND FIXTURES, AND GENERAL INTANGIBLES. 5, ALTERNATIVE DESIGNATION [If eppllceble): 6. IS IS to e I ESTATE RECORDS. Attach Addend 8. OPTIONAL FILER REFERENCE DATA 027010 - Grand Island, NE 20854699 FiliNG OFFICE COpy - NATIONAL UCC FINANCING STATEMENT (FORM UCC1) (REV. 07/29/98)