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~.......^ r Z N ~ ~ ~ to ~ ~ DANCING STATEMENT AMENDMENT ~ ~ STRUCTIONS (front and back) CAREFULLY ~~ ~ ~~ SHONE OF CONTACT AT FILER [optional] c9 .r.. ~w :KNOWLEDGMENT TO: (Name and Address) >rporatioESe~N~e Company L`o~POkfYT/~~/ -~r'14/l~ ~ )l ADLAI STEVENSON DRIVE $p~ ~~J-Iq~ 3''TK-~uA~` ~~ :ringfield, 2L 62703 ,$'f'dQ~lV6i aG~~~'d, ~'~' G 11 VIII ~~~ III ~~~~~~ ~~~~~~ ~~~~~ IIIIIIIIIIIilllllllllllllllllllllllll ~ ~~ ~~~ Q u I c k o r d e r s 5 2$ 2 0 1 0 400005-3 1a. INI'rlAl FINANCING STATEMENT FILE # 02D0505845 Date:D6/28/20D5 E: P: THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY 1h. This FINANCING STATEMENT AMEN[ to be filed [for record] (or recorded) in the REAL ESTATE RECORDS. /I.ao is '"' 2. TERMINAfiION: Effectiveness of the Financing Statement identified above is terminated with respect to security interest(s) of the Secured Party authorizing this Termination Statement. 3. CONTINUATION: Effectiveness of tl~p Financing Statement identified above with respect to security interest(s) of the Secured Party authorizing this Continuation Statenr~nt is continued for the additional period provided by applicable law. Q. ASSIGNMENT (full or partial): Give name of assigned in item 7a or 7b and address of assignee in item 7c; and also give name of assignor in item 9. 5. AMENDMENT (PARTY INFORMATION): This Amendment affects Debtor ~ Secured Party of record. Check only one of these two boxes r~ Also check qpg of the following three boxes gpQ provide appropriate information in items 6 and/or 7. CHANGEnameand/oraddress: Please refertothedetailedinstrudions DELETE name: Give record name ADD name; Gompleteitem7aor7b,andalso in reaardstochanainathename/addressofapaL#y_.___ to be deleted in item 6a or 6b. alsocompleteitems7e-7o (ifaeolicable). ~~~ - - ~ ....r. .....r. ~ item 7c; 6. CURRENT RECORD INFORMATION: ea. ORGANIZATION'S NAME ive Star Quality Care-NE, LLC OR 6b. INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE NAME SUFFIX 7. CHANGED (NEw) oR ADDED INFORMATION: 7a. ORGANIZATION'S NAME .., ~ 7b. INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE NAME SUFFIX 7c. MAILING ADDRESS CITY STATE POSTAL CDDE COUNTRY 7d. SEE INSTRUCTIONS ADD'L INFO RE 7e. TYPE OF ORGANIZATION 7f. JURISDICTION OF ORGANIZATION 7g. ORGANIZATIONAL ID #, if any ORGANIZATION DE670R NONE 8. AMENDMENT (COLLATERAL CHANGE): check only ~ box. `~ Describe collateral ~ deleted or ~ added, or give entire restated collateral description, or describe collateral assigned. 9. NAME pF SECURED PARTY OF RECORD AUTHORIZING THIS AMENDMENT (name of assignor, it this is an Assignment). If this is an Amendment authorized by a Debtor which adds collateral or adds the authorizing pebtor, or if this is a Termination authorized by a Debtor, check here and enter name of DEBTOR authorizing this Amendment. 9a. ORGANIZATION'S NAME SNH/LTA Properties Trust OR 9b. INDIVIDUAL'S LA57 NAME FIRST NAME MIDDLE NAME SUFFIX ~p,OPTIONAL FILER REFERENCE DATA NE-Hall County Corporation Service Company FILING OFFICE COPY - UCC FINANCING STATEMENT AMENDMENT (FO M UCC3) (REV. 05/22/02) 2711 Centerville Rd, sta. 400 Wilmington, DE 19AU8 T p Z n ~' ~' ~ ~_ ' v ~t ~ _ ~ ~ c~ c a `'~ ~ ~ ~"'' CJ) O ~, ~ rv ~+ ~ ~ - ca z C C .~ ' t I ~ r Cn . ~ ~ -'q xY cz~ Q ~ r'tt c~ ~ IM^- ~ r xa. w ~ C "' "_' '~; as m OK) V r p t~ c~ Cp n , ~ Z ~ ~O,i