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<br />".,/ <br /> <br />..... <br />,~r <br /> <br />r <br /> <br />200902654 <br /> <br />UCC FINANCING STATEMENT ADDENDUM <br />FOllOW INSTRUCTIONS (front and back\ CAREFUllY <br />9, NAME OF FIRST DEBTOR (1a or 1b) ON RELATED FINANCING STATEMENT <br /> 9a. ORGANIZATION'S NAME <br />OR CHIEF INDUSTRIES, INC. <br /> 9b. INDIVIDUAL'S LAST NAME IFIRST 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 11b)" do not abbreviate or combine names <br /> <br /> 11a. ORGANIZATION'S NAME <br />OR 11 b. INDIVIDUAl'S LAST NAME FIRST NAME MIDDLE NAME SUFFIX <br />11c. MAILING ADDRESS CITY STATE I POSTAL CODE COUNTRY <br />11d. SEE INSTRUCTIONS I fDD'LlNFO RE 111e. TYPE OF ORGANIZATION 11 f. JURISDICTION OF ORGANIZATION 11g. ORGANIZATIONAL 10#, if any <br /> g~~:~~ZATION I I I nNONE <br />12. 1 ADDITIONAL SECURED PARTY'S Ql [] ASSIGNOR SIP'S NAME - insert only 2m! name (12a or 12b) <br /> 12a. ORGANIZATION'S NAME <br />OR 12b. INDIVIDUAl'S lAST NAME FIRST NAME MIDDLE NAME SUFFIX <br />120. MAILING ADDRESS CITY STATE IPOSTAlCODE COUNTRY <br />13. This FINANCING STATEMENT covers 0 timber to be cut or 0 as-extracted 16. Addibonal collateral description: <br /> collateral, or is filed as a 0 fixture filing. <br />14_ DeSCription of real estate: <br />1821 Nortb Road, Grand Island, Nebraska, legally <br />described as: <br />Lot I, Chief Corporate Second Subdivision in the City <br />of Grand Island, Hall County, Nebraska <br />15. Name and address of a RECORD OWNER of above-<lescribed real estate <br /> (if Debtor does not have a record interest): <br />Cbief Industries, Inc. <br />P.o. Box 2078 17 _ Check ~ if applicable and check Q.D!y. 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 llIIlx W applicable and check llIIlx one box. <br /> _ Debtor is a TRANSMITTING UTilITY <br /> _ Filed in connection with a Manufactured.Home Transacbon - effecb\le 30 years <br /> Filed in connection with a Public-Finance Transaction ~ effective 30 years <br /> <br />FILING OFFICE COPY - UCC FINANCING STATEMENT ADDENDUM (FORM UCC1Ad) (REV. 05/22/02) <br />