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N S S co S S N N 0) I-" 0> ifiS n:E: ~ ~l ;rl r~,~ rn . ......... t "'~- ~~ ...,..., 1.........) c:J <=> c.o C_ :::0 Z .- .....c: ~ "'1'1 c: Z c ~ ~~ ncn 'IIi:%: I I t ~ o rn Pl Cl C)l \:J ::3 II I-" :KNOWLEDGMENT TO: (Name and Addre$$) Rt:tEI\I/:L.'ndD.. p. Five Points Bank 3111 W. Stolley Pk. Rd. Po iN> ISO '7 Grand Island, NE 68SQ.1 t. no ~ L ~ THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY DEBTOR'S EXACT FULL LEGAL NAME. insert only one debtor name (1 a or 1 b) . do not abbreviate or combine names ("") (/l Q-j C:.-'" ::z:-j -lrll -<0 0-'-' ""T'1Z ::r:m >CD ,:::0 ,):>- (/l ;:><: )> ""-"' --- (j) (J) <::) N C> C> CD c::> c::> ~ ~ Q) I ~ )> en Z ~ ~ :s:: ~ z o I~f() 1 a, ORGANIZATION'S NAME HOCH, INC. OR lb, INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE NAME SUFFIX 10. MAILING ADDRESS CITY STATE I POSTAL CODE COUNTRY PO BOX 1646 GRAND ISLAND NE 6BB02-1646 USA 1 d SEE INSTRUCTIONS I;DD'L INFO RE 11e, TYPE OF ORGANIZATION 11 JURISDICTION OF ORGANIZATION 19, ORGANIZATIONAL 10 #, if any ORGANIZATION . ~NONE DEBTOR I Corporation I I 2, ADDITIONAL DEBTOR'S EXACT FULL LEGAL NAME. insert only one debtor name (2a or 2b) . do not abbreviate or combine names 2a, ORGANIZATION'S NAME H & H CARRIER CORPORA liON OR 2b, INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE NAME SUFFIX 20 MAiLING ADDRESS CITY STATE I POSTAL CODE COUNTRY PO BOX 1646 GRAND ISLAND NE 6BB02~1646 2d SEe INSTRUCTIONS I ;DD'L INFO RE 12e TYPE OF ORGANIZATION 2f JURISDICTION OF ORGANIZATION 2g, ORGANIZATIONAL 10 #, if any ORGANIZATION . I NE I>a NONE DESTOR I Corporation I 3, SECURED PARTY'S NAME (or NAME of TOTAL ASSIGNEE of ASSIGNOR SIP) - insert only one secured party name (3a or 3b) 3a, ORGANiZATION'S NAME Five Points Bank OR 3b INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE NAME SUFFIX 3c MAILING ADDRESS CITY STATE rOSTAL CODE COUNTRY 3111 W. Stolley Pk. Rd. Grand Island NE 6BB01 USA 4, This FINANCING STATEMENT covers the follovving collateral: All inventory. equipment, accounts (including but not limited to all health-care-insurance receivables), chattel paper, instruments (including but not limited to all promissory notes), letter-of-credit rights, letters of credit. documents, deposit accounts, investment property, money. other rights to payment and performance, and general intangibles (including but not limited to all software and all payment intangibles); all oil. gas and other minerals before extraction; all fixtures; ; all attachments, accessions. accessories, fittings, increases, tools. parts. repairs. supplies. and commingled goods relating to the foregoing property, and all additions, replacements of and substitutions for all or any part of the foregoing property; all insurance refunds relating to the foregoing property; all good will relating to the foregoing property; all records and data and embedded software relating to the foregoing property, and all equipment, inventory and software to utilile, create, maintain and process any such records and data on electronic media; and all supporting obligations relating to the foregoing property; all whether now existing or hereafter arising, whether now owned or hereafter acquired or whether now or hereafter subject to any rights in the foregoing property; and all products and proceeds (including but not limited to all insurance payments) of or relating to the foregoing property. Debtor 2 SECURED PARTY COPY - UCC FINANCING STATEMENT (FORM UCC1) (REV, 05122102) Harland Financial Solutions 400 S.W. 6th Avenue, Portland, Oregon 97204