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I\..) s S -.....J S .p. -->. I\..) <..v [i) &- UCC FINANCING STATEMENT AMENDMENT FOl-l-OW INSTRUCTIONS (front and back) CAREFUl-l- Y A. NAME & PHONE OF CONTACT AT FIl-ER [optlonall Kim Elrod (937) 449-2806 B. SEND ACKNOWleDGMeNT TO: (Name and Addres.) I Karen R. Adams Esq, Chernesky, Heyman & Kress PLL. 1100 Courthouse Plaza SW I Dayton OH 45402 1a INITIAL FINANCING STATEMENT FILE # 200011182 ").1 ,.. -'" :::J tl." ~\",,~>-:!: o't -Tl "'I.,f CJ (J' rl ,. rf1 r C) ~ l ~- ......, <:;:'..,..,) ~ o o c Z -i -< C) " rri :> c:,:) r :::u r }>.. (JJ ^ 1>- ---- ---- (() (/') ::3 = -c:: r'V I-' ""0 ::3 c..J -C C> THe ABOVe SPACe IS FOR FIl-ING OFFICE USE ONI- Y 1 b. This FINANCING STAH.:.MENl AMENDMENT IS o ~E~Lfi~:~Z;~e~~gg~~:~orded) In the +I TERMINATION: Effectiveness of the F!nanclng Statement identified :jIbove i!j. termi!1:ilted with respect to security in1erest(a) Df the Secured Party authorizing this Termination statement D CONTINUATION: Effectiveness ofthl!l; Financing St<iltement identified :jIbove wi~h respedto security interest(s) of the Secured Party authorizing this Continuation Statement IS continued for the additional period pl"ovidM by 4lIppllCiOle I~w ASSIGNMENT (full or partial). GIVe name of assignee in item 7~ or 71;l and I;Iddresa of aaal nee in item 7c; and also give nam@ or a~lgnor in Item 9. 5 AMENDMENT (PARTY INFORMATION): This Amendment affects Detxor Q[ eCl,lred Party of record. Check only 2!:!,g of these two boxes Also check QM: of the following three boxes 2!!2 pl"ovfde appropriale Information In Items 15 and/or 7 D CHANGE name and/or address. Pleas~ refer to the detailed in~n,Jctiona lEI DELETE name. Give record name lEI ADD name: complete Item r~ or 10, ana also Inregards 10 changing the name/address of ~ party to be deleted In Item 6a or 60, Itel11 7c.: ;J1l;Q tQmplel1) ilIJmlO 71it-7g (ihpplic.OIIble) 6. CURRENT RECORD INFORMATION: 6~ ORGANIZATION'S NAME OR 6b INDIVIDUAL'S lAST NAME FIRST NAME Suffix. MIDDle NAMe 7. CHANGEO (NEW) OR ADDED INFORMATION: 701, ORG/lNliA nON'S NAME OR fb INDIVIDUAL'S lAST NAME FIRST NAME 7G MAILING ADDReSS CITY 7f. JURISDICTION OF ORGANIZATION 'g, ORGANIZATIONAl, ID #, if any 7d n.~I~D9~ 7e TYPE OF ORGANIZATION 8, AMENDMENT (COllAH:.RAl CHANGE)' check only one box Describe collateral 0 del~l~d Or [J added, or give entire D r~6hut~d (:glliltl:lrill d~$(:(iptIOl'l. or dl!~cnbl! collateral MIDDLE NAME STATE POSTAL CODE Sl)FFIX COUNTRY none lEI aSSigned 9. NAMe OF SeCURED PARTY OF RECORD AUTHORIZING THIS AMENDMENT (name of assignor, if this i. an A..i~.nt). Ilthi. i. an Amendment authorized by a Debtor which adds collateral or adds the authorizing Debtor, or if this is a Termination authorized by a Debtor, check het$ blJ and en1er nal'n8 of DEBTOR authorizing Amendment. s;) oRGANIZATION'S NAME Kelly & Cohen Appliances, Inc. OR 9b, INDIVILllJAI '51,AST NAME FIRST NAME MIDDLE NAME SUFFIX 10, OPTIONAL FILeR REFERf:NCF, DATA Grand Island, Hall County, Nebraska Store #242 FILING OFFICE coPy - NATIONAL UCC FINANCING STATE:.M~Nr AMENDMENT (FORM UCC3) (REV. 05/22/02) 204-TERM L'Y',C()("c) ,~\ .J, - SE:: r.:> , (t{; (r:. -i 1>- -I m C:.:> '1 I ar I ~ C> N C> c:> --..J o .J: l---'- rv W :5 ~q- '-~ Rev 05122102