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r ^�. s � �� n � v -� a o � 70 �1 A �'— z � r � �� o � d 0 ,� n � � � � . o -n O �'' EI� � � NANCING STATEMENT � � y = �,�-, ,:�7 �-' A � INSTRUCTIONS (front and back) CAREFULLY �'1 � �� O r Z' y�� PHONE OF CONTACT AT FILER [optional] r D �"` O � � Phone:(800) 331-3282 Fax: (818) 662-4141 ct'� � � .,� C �� CKNOWLEDGEMENTTO: (NameandAddress) �O6SF) PRIME ACCEP A � � v �� v �1.1 � � m� �� �� 1'1V �/I Y � �' �, `�' Z �� T Lien So►utions 27018814 � � ' P.a BoX 2so�� m Glendale ca s�2os-so�� NENE �� � FIXTURE � � File with: CC NE Hall NE THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY 1. DEBTOR'S EXACT FULL LEGAL NAME - insert only one debtor name (1a or 1b) - do not abbreviate or combine names 1a. ORGANIZATION'S NAME OR 1b. INDIVVDUAL'S LAST NAME FIRST NAME MIDDLE NAME SUFFIX MONTELONGO MARTIN . . 1c. MAILING ADDRESS � � � �� . CITY � � � STATE POSTAL CODE COUNTRY � 3975 W CAPITAL AV GRAND ISLANQ NE 68803 USA = 1d. SEE INSTRUCTIONS DD'L INFO RE 1e. TYPE OF ORGANIZATION 1f. JURISDICTION OF ORGANIZATION 1g. ORGANIZATiONAL ID #, if any � ORGANIZATION � . � � � DE670R � � � �. � � . � NONE - � 2. ADDITIONAL DfBTOR'S EXACT FULL LEGAL NAME - insert only one debtor name (2a or 2b) - do not abbreviate or combine names � 2a. ORGANIZATION'S NAME _ � OR � 2b. INDIVIDUAL'S IAST NAME FIRST NAME MIDDLE NAME SUFFIX - ■' � . 2c. MAILfNG ADDRESS . � . �� CITY � � � STATE POSTAL�CODE � � COUNTRY . � - � . . . . � � . . � � �� .. � . . . . . . . � 2d. SEE INSTRUCTIONS DD'L INFO RE 2e. TYPE OF ORGANIZA�'ION 2f. JURISDICTION OF ORGANIZATION 2g. ORGANIZATIONAL ID #, if any � � � ORGANIZATION � � � � � � � � � DEBTOR �NONE � 3. SECURED PARTY'S NAME (or NAME of TOTALASSIGNEE of ASSIGNOR S/P) - insert only one secured party name (3a or 3b) �_ � . . 3a. ORGANIZATION'S NAME � � � � � � � � � � � � Prime Acceptance Corp. � OR .� 3b. INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE NAME SUFFIX o _ 3c. MAtLiNG ADDRESS CI7Y STATE POSTAL CODE COUNTRY _..� 200 W Jackson Blvd. Suite 720 Chicago IL 60606 USA 4. This FINANCING STATEMENT covers the following collateraC WATER TREATMENT SYSTEM 5. ALTERNATIVE DESIGNATION [if applicable] IESSEE/LESSOR CONSIGNEE/CONSIGNOR BAILEE/BAILOR SELLER/BUYER AG. LIEN ❑ NON-UCC FILING g �This FINANCING STATEMENT.is to be filed [for record] (or recorded) in the REAL 7. Check�to REQUES SEARCH REPORT(S) on Debtor(s) _ `�''ESTATERECORDS. AttachAddendum � fifaoolicablet _ fP,DDITIQNALFEEI footionall � �AII�Debtors�❑�Debior1❑Debtor2 8. OPTIONAL FILER REFERENCE DATA 27018814 620151746 FILING OFFICE COPY - NATIONAL UCC FINANCING STATEMENT FORM UCC1 REV. 05/22/02 Prepared bv CT Lien Solutions, P.O. Box 29071, . � . ) � . ) Glendale, CA 91209-9071 Tel (800) 331•3282 .