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<br />200709153 <br /> <br />uce FINANCING STATEMENT ADDENDUM <br />FOLLOW INSTRUCTIONS Cfronl..nd back) CAREFULLY <br />9. NAME OF FIRST DEBTOR (19 of lb) ON RELATED FINANCING STATEMENT <br /> ga. ORGANIlA nON'!! N..ME <br />OR Grand Island Health Care, Inc. <br /> 9b.INOlVIDU"L'S L.-sT N"ME r'RST NAME IMIDDlE ""'ME,SUFFIX <br />10. MISCELlANEOUS: <br /> THE ABOVE SPACE 1$ FOR FILING OFFICE USE ONLY <br /> <br />DEBTOR'S <br /> <br />11. ADDITIONAL eXACT FUll lEGAL NAME. In.... only lllIanam. (11a Dr l1b).<lQ nDI.bbr"'.ll'or combln. n.m.. <br /> 1 la. ORGANIL'I TION'S NAME <br />OR I, b. INDIVIDUAl'S LAST NAME FIRST NAME MIDDLE NAME SUFFIX <br />\ lc. MAILING ADDRESS CITY STATE I POSTAl. CODE COUNTRY <br />11d. TAX '0 t: 5SN OR ErN 1:0'1. INFO RE l' I.. TYPE OF ORGANIZATION 111. JURISDICTION OF ORGANIZATION 1 19. ORGANIZATIONAL 10.. Wany r10NE <br /> ~rr-~:'TION I I I <br />12. 'ADDITIONAL SECURED PARTY'S "" IASSIGNOR SIP'S NAME -1n06r\oMlllIa...m. (12.., 12bl <br /> iff.. ORG......tZATlDN.S NAMe <br />OR 12b, INDIVIDUAl. os LAS1' NAMe FIRST NAME MIDDLE NAMe SUFFIX <br />12C. MAILING AODR!:SS CITY STATE I POSTAL COPE COUNTRY <br />13. Thl. FIN......CING STATEMENT cov." lImb.r to be cuI "'0 ......_1Od 18. Ad<jItionel coll.,.,,1 d.,crlpl..n: <br /> collet.,.., 0' ,. flied.. .0""'"'. flllng. <br />14. Deacrlptlon of ,..a' ......, <br />SEE EXHIBIT "A" A IT ACHED HERETO FOR LEGAL <br />DESCRIPTION. <br />15. N.m. end odd",.. 0' . RECORD OWNER of .b<l..-d..a_ r..I..I818 <br /> (~ DebCor dODo nol h... . ",cord In18"'01): <br /> 17. Cheok llllIx ti .ppllcoblo .nd en.... llllbr. on. bo.. <br /> o.btor t.. nTrus1 ar"(jTru.l.. 8c:tlno with rw.pet:1 tOo pr~ held In trust ..nO.C_I" E...", <br /> 18. ct>8d< llIIll<" appllCOblO end <heck llIlill ona boo. <br /> ..., <br /> ... Deblor I.. TR......SMITT'IIIG UTILITY <br /> ... ",Ied in c.onnectlan. with. M_nufacrl.lhl4.t-fprne Tr~I\&.c1l()tl .- IiIff&Ctivtl 30 ye.1'JI <br /> FlI_d In C:OntleC11(ln wl!t1. PubMe-Fk1anco Tranti8Ct1on effective 30 year. <br /> <br />FILING OFFICE COPY - NATIONAL UCC FINANCING STATEMENT ADDENDUM (FORM UCC lAd) (REV. 07/29/98) <br />