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201107533
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Last modified
10/17/2011 3:04:20 PM
Creation date
10/11/2011 12:58:35 PM
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201107533
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UCC FINANCING STATEMENT <br />Ariel A. Falk, Esq. <br />Vorys, Sater, Seymour and Pease LLP <br />Atrium Two, Suite 2000 <br />221 East Fourth Street <br />Cincinnati, Ohio 45202 <br />201107533 <br />THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY <br />DEBTOR'S EXACT FULL LEGAL NAME — insert only one debtor name Na or 1 b) — do not abbreviate or combine names <br />L. AUDI I IONAL Utb I UK "S EXAC I FULL LEGAL NAME — insert oniv one debtor name (2a or 2b) — do not abbreviate or combine names <br />1a. ORGANIZATION'S NAME <br />OR <br />NEBRASKA ASSOCIATION FOR DEVELOPMENTAL HOUSING <br />SUFFIX <br />1b. INDIVIDUAL'S LAST NAME <br />FIRST NAME <br />MIDDLE NAME <br />SUFFIX <br />1c. MAILING ADDRESS <br />CITY <br />STATE <br />POSTAL CODE <br />COUNTRY <br />216 NORTH DENVER AVENUE <br />HASTINGS <br />NE <br />68901 <br />USA <br />1d. SEE INSTRUCTIONS <br />ADD'L INFO RE <br />I 1e. TYPEOFORGANIZATION <br />1f. JURISDICTION OF ORGANIZATION <br />1g. ORGANIZATIONAL ID #, if any <br />ORGANIZATION <br />I DEBTOR <br />Nonprofit COr <br />P corp. <br />Nebraska <br />E0444537 ❑ NONE <br />L. AUDI I IONAL Utb I UK "S EXAC I FULL LEGAL NAME — insert oniv one debtor name (2a or 2b) — do not abbreviate or combine names <br />3. SECURED PARTY'S NAME (or NAME of TOTAL ASSIGNEE of ASSIGNOR S /P) —insert only one secured <br />3a. ORGANIZATION'S NAME <br />LANCASTER POLLARD MORTGAGE COMPANY <br />name (3a or 3b) <br />2a. ORGANIZATION'S NAME <br />OR <br />MIDDLE NAME <br />SUFFIX <br />2b. INDIVIDUAL'S LAST NAME <br />FIRST NAME <br />MIDDLE NAME <br />SUFFIX <br />2c. MAILING ADDRESS <br />CITY <br />STATE <br />POSTAL CODE <br />COUNTRY <br />2d. SEE INSTRUCTIONS <br />ADD'L INFO RE <br />2e. TYPE OF ORGANIZATION <br />2f. JURISDICTION OF ORGANIZATION <br />2g. ORGANIZATIONAL ID #, if any <br />ORGANIZATION <br />DEBTOR <br />I <br />1 ❑ NONE <br />3. SECURED PARTY'S NAME (or NAME of TOTAL ASSIGNEE of ASSIGNOR S /P) —insert only one secured <br />3a. ORGANIZATION'S NAME <br />LANCASTER POLLARD MORTGAGE COMPANY <br />name (3a or 3b) <br />4. This FINANCING STATEMENT covers the following collateral: <br />See Exhibit A attached hereto for a description of the real estate to which certain of the collateral relates. See <br />Exhibit B attached hereto for a description of the collateral. <br />Certain of the goods described in Exhibit B are, or are to become, fixtures on the real estate described in <br />Exhibit A, and this financing statement is to be filed for record in the real estate records. <br />Either Secured Party, acting alone, is authorized to file continuation statements with respect to this financing <br />statement. <br />5. ALTERNATIVE DESIGNATION [if applicable]: Li LESSEE /LESSOR ❑ CONSIGNEE /CONSIGNOR Li BAILEE /BAILOR I I SELLER/BUYER u AG. LIEN u NON -UCC FILING <br />6. [�This FINANCING STATEMENT is to be fled [for record] (or recorded) in the REAL 7. Check to REQUEST SEARCH REPORT(S) on Debtor(s) ❑ All Debtors ❑ Debtor 1 ❑ Debtor 2 <br />ESTATE RECORDS. Attach Addendum [if applicable] [ADDITIONAL FEE] [optional] <br />8. OPTIONAL FILER REFERENCE DATA <br />Hall County, Nebraska MNIS; FHA Project No. 103 - 11045 -NP -REF <br />FILING OFFICE COPY — NATIONAL UCC FINANCING STATEMENT (FORM UCC1) (REV. 05/22/02) <br />[3b. INDIVIDUAL'S LAST NAME <br />FIRST NAME <br />MIDDLE NAME <br />SUFFIX <br />3C. MAILING ADDRESS <br />65 E. State Street, 16th FLOOR <br />CITY <br />Columbus <br />STATE <br />OH <br />POSTAL CODE <br />43215 <br />COUNTRY <br />USA <br />4. This FINANCING STATEMENT covers the following collateral: <br />See Exhibit A attached hereto for a description of the real estate to which certain of the collateral relates. See <br />Exhibit B attached hereto for a description of the collateral. <br />Certain of the goods described in Exhibit B are, or are to become, fixtures on the real estate described in <br />Exhibit A, and this financing statement is to be filed for record in the real estate records. <br />Either Secured Party, acting alone, is authorized to file continuation statements with respect to this financing <br />statement. <br />5. ALTERNATIVE DESIGNATION [if applicable]: Li LESSEE /LESSOR ❑ CONSIGNEE /CONSIGNOR Li BAILEE /BAILOR I I SELLER/BUYER u AG. LIEN u NON -UCC FILING <br />6. [�This FINANCING STATEMENT is to be fled [for record] (or recorded) in the REAL 7. Check to REQUEST SEARCH REPORT(S) on Debtor(s) ❑ All Debtors ❑ Debtor 1 ❑ Debtor 2 <br />ESTATE RECORDS. Attach Addendum [if applicable] [ADDITIONAL FEE] [optional] <br />8. OPTIONAL FILER REFERENCE DATA <br />Hall County, Nebraska MNIS; FHA Project No. 103 - 11045 -NP -REF <br />FILING OFFICE COPY — NATIONAL UCC FINANCING STATEMENT (FORM UCC1) (REV. 05/22/02) <br />
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