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N � <br />nn <br />m <br />rn <br />fd1 <br />- <br />ANCING STATEMENT <br />X <br />TRUCTIONS (front and back) CAREFULLY <br />1 b. INDIVIDUAL'S LAST NAME <br />+HONE OF CONTACT AT FILER [optional] <br />MIDDLE NAME <br />co <br />VAN WIE <br />b <br />Z-5 <br />KNOWLEDGMENCCT TO: (Name and Address) <br />�� <br />� Lr� ✓ (AYE, — e L L <br />Equitable Bank <br />C1'1 <br />113 -115 N Locust St <br />PO Box 160 <br />Grand Island, NE 68802 -0160 <br />a --a <br />C7 "'T1 <br />Cn <br />C!7 <br />THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY <br />1. DEBTOR'S EXACT FULL LEGAL NAME <br />nn <br />rn <br />fd1 <br />1a. ORGANIZATION'S NAME <br />X <br />WC <br />1 b. INDIVIDUAL'S LAST NAME <br />FIRST NAME <br />MIDDLE NAME <br />co <br />VAN WIE <br />b <br />Z-5 <br />a <br />co <br />STATE <br />C1'1 <br />a --a <br />C7 "'T1 <br />Cn <br />C!7 <br />THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY <br />1. DEBTOR'S EXACT FULL LEGAL NAME <br />-insert only one debtor name (1 a or 1 b) -do not abbreviate or combine names <br />1a. ORGANIZATION'S NAME <br />OR <br />1 b. INDIVIDUAL'S LAST NAME <br />FIRST NAME <br />MIDDLE NAME <br />VAN WIE <br />SCOTT <br />1c. MAILING ADDRESS <br />CITY <br />STATE <br />#50 WESTER LAKE <br />GRAND ISLAND <br />NE <br />1POSTALCODE <br />68801 <br />1d. SEE INSTRUCTIONS <br />ADD'L INFO RE Ile. <br />TYPE OF ORGANIZATION 1f. JURISDICTION OF ORGANIZATION <br />1g. ORGANIZATIONAL ID #, if any <br />ORGANIZATION <br />Individual <br />DEBTOR <br />2. ADDITIONAL DEBTOR'S EXACT FULL LEGAL NAME - insert only one debtor name (2a or 2b) - do not abbreviate or combine <br />names <br />2a. ORGANIZATION'S NAME <br />OR 2b. INDIVIDUAL'S LAST NAME <br />VAN WIE <br />2c, MAILING ADDRESS <br />#50 WESTER LAKE <br />2d. SEE INSTRUCTIONS ADD'L INFO RE 2e. TYPE OF ORGANIZATION <br />ORGANIZATION <br />DEBTOR Individual <br />3. SECURED PARTY'S NAME (or NAME of TOTAL ASSIGNEE of ASSIGNOR <br />OR 3a. ORGANIZATION'S NAME <br />Equitable Bank <br />FIRST NAME <br />JANA <br />GRAND ISLAND <br />insert only one secured Dartv name r3a or <br />MIDDLE NAME <br />STATE 1POSTALCODE <br />NE 68801 <br />2g. ORGANIZATIONAL ID #, if any <br />ewe ; <br />1' <br />w w. <br />w <br />—11 =3 <br />CD <br />Cc) <br />CJl <br />10,56 <br />SUFFIX <br />COUNTRY <br />USA <br />NONE <br />SUFFIX <br />COUNTRY <br />USA <br />— 113 -115 N Locust St, PO Box 160 1 Grand Island I NE 1 68802 -0160 1 USA <br />4. This FINANCING STATEMENT covers the following collateral; <br />All 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 accounts proceeds). <br />5. ALTERNATIVE DESIGNATION [if applicable ]: LESSEE/LESSOR CONSIGNEE/CONSIGNOR BAILEE /BAILOR SELLER /BUYER AG. LIEN 11 NON -UCC FILING <br />6, NT his FINANCING STATEMENT is to be filed [for record] (or recorded) in the REAL 7, Check to REQUEST SEARCH REPORT($) on Debtor(s) <br />FRTATF RFCnPr)R Attach Addendum rif annlieahlnl rAW)ITIONAI FFF1 rnnti -rl I All Debtors I IDebtorl I IDebtor2 <br />OPTIONAL FILER REFERENCE DATA <br />Harland Financial Solutions <br />FILING OFFICE COPY — UCC FINANCING STATEMENT (FORM UCC1) (REV. 05/22/02) 400 S.W. 6th Avenue, Portland, Oregon 97204 <br />