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<br />I\.) <br />Sl <br />Sl <br /><Xl <br />Sl <br />(j) <br />...... <br />-.....J <br />.l::>. <br /> <br /> <br />10 <br />m <br />." <br />c: <br />Z <br />Qnc <br />~l;;~ <br />,,:J: <br /> <br />Q~ <br />m (It <br />nx <br />'" <br /> <br />~ <br />~ ~1- <br />G") ;;::- <br />o <:::f <br />~ ct. <br />~ l <br /> <br /> <br />UeC. <br />;=JNANCINGSTATEMENT <br />I INSTRUCTIONS frolltandback CAREFULLY <br />: & PHoNE OF CONTACT AT FILER [opllonaq <br />48-8026 <br />)Ac;:kNbWLEDGNENT TO: (N(IIT1e and.AddrllS.S) <br />r J?~ tSly .' <br />I DIVERSIFIEbFiNANCIAL SERVICES, LLC <br />14010 FIRST NATIONAL BANK PKWY <br />STE 400 <br />OMAHA, NE 68154 <br /> <br />~ <br />~ <br /> <br />~~"~ <br />(=> <br />00 <br /> <br />~ <br />c.::::: <br />r- <br />~ <br />CO <br /> <br />-u <br />::3 <br /> <br />....... <br />I"'V <br />...r; <br /> <br />a (jJ <br />o --i <br />c:::l> <br />z-i <br />-im <br />--<0 <br />0" <br />"z <br />::r:: rn <br />):> co <br />,:;0 <br />I):> <br />(jJ <br />;:><: <br />):> <br />---- ........, <br /> <br />CJ) <br />Cfl <br /> <br />'(::) <br />N <br />o <br />c::> <br />co <br />o <br />en <br />....... <br />-.J <br />~...r; <br /> <br />~ <br />:D <br />1:9 <br />:1> <br />en <br />Z <br />~ <br />:IJ <br />c: <br />s:: <br />~ <br />3 <br /> <br />lI.oD <br /> <br />L --.J <br /> <br />THe ABOve SPACE ISFORFILINGr PFFIQ;E U$EONL Y <br /> <br />1. DEBTOR'S EXACT FULL LE.GAL NPME -lns9ltol,IYQ!J!dsblo'nan\9(1a 011~) .do '\olabbnwial90roombinanames <br />11a. ORGANIZATION'S NAME <br /> <br />OR 1b.INDIVIDUAL'SLAST NAME <br /> <br />FIRST NAME <br />SIMON <br />CITY <br /> <br />WAGONER <br />10. MAILING ArJDRES$ <br /> <br /> <br />1 d.SEEINSTRUC'f1()NS <br /> <br />SHELTON <br />1 f,JURISDICTION'bF~GANIZATION <br /> <br />NE 68876 <br />19, ORGANIZATIONALlD #, ilany <br /> <br />1 $, TYPE OF ORGANIZATION <br /> <br />MUDDLE NAME <br /> <br />STATE POSTAL CODE <br /> <br />SUFF <br /> <br />CO~TRY <br /> <br />NONE <br /> <br /> 2a 6i'i'OANIZATION'SNAME <br />OR 2b. INDMDUAL'S LAST NAME FIRST NAME MIDDLE NAME SUFFIX <br /> WAGONER MANDl <br />20. MAILING ADDRESS CIW STATE IPOSTAlCODE COUNTRY <br />2797 S. BLUFF CENTER RD SHEL TON NE 68876 <br />2d:!;FFINl:TRUCTICNS ADD'L1NFORE .129 TYPE OF ORGANIZAT~ 2f. JURISOTc5T1Of\lOF ORGANIZATION 2g. ORGANIZATIONAL I[j II, hny <br /> <br />r ORG. AN. .11ATlON <br />IDEI;ITOR I <br /> <br />3,SECU RE D PARTY'SNAME (PI NAME of TOT ALASSIGNEE of ASSlG NOR SIP) .ins9ltonIYl!llllM,Modpartyllame (3.0' 3b) <br />3a.ORGANIZATlON'SNA E <br />DIVERSIFIED FINANCIAL SERVICES, lLC <br />OR 3b~.ii'::;-6i'V7~ST 'N.A~"I~.~."-~-~-"_.'.'~'"-'''''''''''~ .'.'m_.___'.~.~.~...._._~~.._~_~.____ <br /> <br />FIRST NAME <br /> <br />3<:. .MAIUNG ADORESS <br />14010 FIRST NATIONAL BANK PKWY STE 400 <br /> <br />CITY <br /> <br />MIDDLE NAME <br /> <br />OMAHA <br /> <br />. stATE POST At. CODE <br /> <br />68154 <br /> <br />4. This FINANCING STATEMENT covets tile following oollaleral: <br /> <br />1 NEW MODEL 8000 VALLEY PIVOT 1296' 7..TOWER SIN 10652644 <br /> <br />1300' 8" PVC, 1300' WIRE <br /> <br />10KW LIMA MAC GENERATOR <br /> <br />FORD 391 POWER UNIT <br /> <br />NE <br /> <br />~ <br /> <br />SUFF!X-.----- <br /> <br />CoLMTRY <br /> <br /> <br />0159952-001 <br />FILING OFFI.CE COpy - UCC FINANCING STATEMENT (FORMUC-C-1) (REV. 05122/02) <br /> <br />D"~1,,,2 <br />