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<br />...;= <br />; <br /> <br />200902653 <br /> <br />UCC FINANCING STATEMENT ADDENDUM <br />FOLLOW INSTRUCTIONS (fronl and back) CAREFULLY <br />9. NAME OF FIRST DEBTOR (1a or 1b) ON RELATED FINANCING STATEMENT <br /> ga. ORGANIZATION'S NAME <br />OR CHIEF INDUSTRIES, INC. <br /> 9b. INDIVIDUAL'S lAST NAME I FIRST NAME I MIDDLE NAME,SUFFIX <br />10. MISCELLANEOUS: <br /> THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY <br /> <br />11. ADDITIONAL DEBTOR'S EXACT FULL LEGAL NAME - Insert only ~ name (lla or llb) - do not abbreviate or combine names <br /> <br /> lla. ORGANIZATION'S NAME <br />OR 11 b. INDIVIDUAL'S lAST NAME FIRST NAME MIDDLE NAME SUFFIX <br />11 c. MAILING ADDRESS CITY STATE IPOSTAL CODE COUNTRY <br />lld. SFFINSTRUCTlONS I ADD'l INFO RE 111e. TYPE OF ORGANIZATION 111. JURISDICTION OF ORGANIZATION 11g. ORGANIZATIONAL ID#, ifany <br /> ~~~6'~ZATION I I I n NONE <br />12. I ADDITIONAL SECURED PARTY'S ilL [J ASSIGNOR SIP'S NAME - Insert only ~ name (12a or 12b) <br /> 12a. ORGANIZATlON'S NAME <br />OR 12b. INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE NAME SUFFIX <br />12c. MAILING ADDRESS CITY STATE IPOSTAlCODE COUNTRY <br />13. This FINANCING STATEMENT covers..D timber to be cut or 0 as-<lxlracted 16_ Additional collateral deSCription: , <br /> collateral, or is filed as a 0 flkture filing. <br />14_ Description of real estate: <br />Lot 3 in Grand Island Industrial Park West <br />Subdivision, an addition to the City of Grand Island, <br />Hall County, Nebraska. <br />15. Name and address of a RECORD OWNER of ahove-<lescrlbed real estate <br /> (if Debtor does not have a record interest): <br />Chief Industries, Inc. <br />P.o. Box 2078 17. Check ll!llll W applicable and check 2!!Ix one box. <br />Grand Island, NE 68803 Debtor is a n Trust or n Trustee acting with respect to property held in trust or n Decedenfs Estate <br /> 18. Check ll!llll W applicable and check lllll.I! one box <br /> I- Debtor Is a TRANSMITTING UTILITY <br /> I- Filed In connection with a Manufactured.Home Transaction - effective 30 yealS <br /> Filed In connection with a Public-Finance Transaction - effective 30 yealS <br /> <br />FILING OFFICE COpy - UCC FINANCING STATEMENT ADDENDUM (FORM UCC1Ad) (REV. 05/22/02) <br />