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~~ ~ ~ <br /> ~~ <br /> r ~ ~ ~ <br /> <br />N ~ <br />~ <br />--~ ~ ~ <br /> IANCING STATEMENT ~ = ~' ~ ~' ~ A <br /> <br />C,1a ~~ ~TRUCTIONS front and back CAREFULLY c7 .,~ 1-I .~ ~ ~ <br />~ - SHONE pF CONTACT AT FILER [cpticnal] ~ ~ ?,( ~ r-~i <br />[z7 <br />C;] Z <br />~ _ ~ ~ `~ pa U <br />7 ~ <br /> <br />~ ~~ <br />'KNOWLEDGMENT TO: (Name and Address) <br />~ c~ 3 r-" ~,, <br />S ~.7 <br />~ ~ ~ i~ ~ Q ~ <br />`te'a Five Points Bank a <br />. <br />.-' ~ <br />~~" 2015 North Broadwell W <br />a ` <br />`` <br />~ Q <br /> Grand Island, NE 68803 r,~a <br />l~. <br /> THE ABQVE SPACE I5 FOR FILING OFf=ICE USE ONLY <br />1. DEBTOR'S EXACT FULL LEGAL NAME -insert only one debtor name (ta or 1b) - do not abbreviate or combine names <br />1a. ORGANIZATION'S NAME <br />OR 1 b. INDIVIDUAL'S LAST NAME <br />KENNEDY <br />1c. MAILING ADDRESS <br />404Q CANNON RD <br />1d. SEE INSTRUGTIONS ADD'L INFO RE ie. TYPE OF ORGANIC <br />ORGANIZATION [ IndlVidual <br />DEBTOR <br />2. ADDITIONAL C7EBTnR'S EXACT FULL LEGAL NAME -insert <br />2a. ORGANIZATION'S NAME <br />OR 2b. INDIVIDUAL'S LAST NAME <br />'IRST NAME <br />DANIEL <br />GRAND ISLAND <br />MIDpLE NAME <br />r' <br />STATE POSTAL GODE <br />NE 68803.1513 <br />7g. ORGANIZATIONAL Ip #, if any <br />one debtor Hama (2a or 2b) - do Hat abbreviate or combine names <br />NAME <br />2c. MAILING ADpRE55 <br />2d. SEE INSTRUCTIONS ADD'L INFO RE <br />ORGANIZATION <br />DEBTOR <br />JURISDICTION OF <br />3. SECURED PAR fY'S NAME (or NAME of TOTAL ASSIGNEE of ASSIGNOR $/P) -insert only pne secured party name (3a or <br />3a. ORGANIZATION'S NAME <br />Five Points Bank <br />pR 3b. INDIVIDUAL'S LAST NAME FIRST NAME <br />GODS <br />any <br />COUNTRY <br />. C7~ <br />2015 North Broadwell Grand Island NE 68803 USA <br />4. This FINANGING STATEMENT covers the following collateral: <br />All inventory, equipment, accounts (including but not limited to all health-care-insurance receivablesl, chattel paper, instruments (including but <br />Hat limited to all promissory notesl, letter-of-credit rights, letters of credit, documents, deposit accounts, investment property, money, other <br />rights to payment and performance, and general intangibles (including but not limited to all software and all payment intangiblesl; all oil, gas <br />and other minerals before extraction; all oil, gas, other minerals and accounts constituting as-extracted collateral; all fixtures; all timber to be <br />cut; all attachments, accessions, accessories, fittings, increases, tools, parks, repairs, supplies, and commingled goods relating to the <br />foregoing property, and ail additions, replacements of and substitutions for all or any part of the foregoing property; all insurance refunds <br />relating to the foregoing property; all good will relating to the foregoing property; all records and data and embedded software relating to the <br />foregoing property, and all equipment, inventory and software to utilize, create, maintain and process any such records and data on electronic <br />media; and all supporting obligations relating to the foregoing property; all whether now existing or hereafter arising, whether now owned ar <br />hereafter acquired or whether now or hereafter subject to any rights in the foregoing property; and all products and proceeds (including but <br />not limited to all insurance payments) of or relating to the foregoing property. <br />5. ALTERNATIVE DESIGNATION if applicable ; LESSEE/LESSOR CONSIGNEElCONSIGNOR BAILEE/BAILOR SELLER/BUYER AG. LIEN NON-UCC FILING <br />13, This FINANCING ST 7EMEN is to be lied [far rocord] (or recorded) in the R AL 7, heck to A H O an ebtor(s) <br />ESTATE RECORDS. Attach Addendum rf a licable ADDITIONAL FE ^ Iona All pebtnrs Debtor 1 Debtor 2 <br />8, OPTIONAL FILER REFERENCE DATA <br />Harland Financial Solutions <br />SECURED PARTY COPY UCC FINANCING STATEMENT (FORM UCCt) (REV. D5/22/g2) 400 S.W. 6th Avenue, Portland, Oregon 97204 <br />