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CASH CHECK__ FINANCING STATEMENT N INSTRUCTIONS E & PHONE OF CONTACT AT SUBMITTER (optional) COORDINATOR (813) 490-3400 .IL CONTACT AT SUBMITTER (optional) INST ) ACKNOWLEDGMENT TO: (Name and Address) L- 1SPc L) 1115 GUNN HWY STE 100 4 ODESSA FL 33556 SEE BELOW FOR SECURED PARTY CONTACT INFORMATION 00939 REFUNDS: CASH CHECK RECORDED HALL COUNTY NE rots FE6 214 A 11: 21 °;:TOLD REGISTER OFDEEDS THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY 1. DEBTORS NAME: Provide only one Debtor name (1a or 1 b) (use exact, full name; do not omit, modify, or abbreviate any part of the Debtor's name); if any part of the Individual Debtor's name will not fit in line lb, leave all of item 1 blank, check here ❑ and provide the Individual Debtor information in item 10 of the Financing Statement Addendum (Form UCC1Ad) OR la. ORGANIZATIONS NAME lb. INDIVIDUAL'S SURNAME CAZARES FIRST PERSONAL NAME BERENICE ADDITIONAL NAME(S)/INITIAL(S) SUFFIX lc. MAILING ADDRESS 2503 E SEEDLING MILE RD CITY GRAND ISLAND STATE NE POSTAL CODE 68801 COUNTRY US 2. DEBTORS NAME: Provide only one Debtor name (2a or 2b) (use exact, full name; do not omit, modify, or abbreviate any part of the Debtor's name); if any part of the Individual Debtor's name will not fit In line 2b, leave all of item 2 blank, check here ❑ and provide the Individual Debtor information In item 10 of the Financing Statement Addendum (Form UCC1A5) OR 2a. ORGANIZATION'S NAME 2b. INDIVIDUAL'S SURNAME VAZQUEZ FIRST PERSONAL NAME HORACIO ADDITIONAL NAME(S)/INITIAL(S) SUFFIX 2c. MAILING ADDRESS 2503 E SEEDLING MILE RD CITY GRAND ISLAND STATE NE POSTAL CODE 68801 COUNTRY US 3. SECURED PARTY'S NAME (or NAME of ASSIGNEE of ASSIGNOR SECURED PARTY): Provide only one Secured Party name (3a or 3b) OR 3a. ORGANIZATIONS NAME ISPC 3b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX 3c. MAILING ADDRESS 1115 GUNN HWY STE 100 CITY ODESSA STATE FL POSTAL CODE 33556 COUNTRY US 4. COLLATERAL: This financing statement covers the following collateral: WATER CONDITIONER EQUIPMENT. SECURED PARTY'S INTEREST IN THE COLLATERAL, WHICH IS OR MAY BECOME A FIXTURE, DOES NOT EXTEND TO THE REAL PROPERTY TO WHICH COLLATERAL IS AFFIXED. 5. Check only if applicable and check only one box: Collateral is ❑ held in a Trust (see UCC1Ad, item 17 and Instructions) ❑ being administered by a Decedent's Personal Representative 6a.Check only if applicable and check only one box: 6b. Check only if applicable and check only one box: ❑ Public -Finance Transaction 0 Manufactured -Home Transaction 0 A Debtor is a Transmitting Utility 0 Agricultural Lien ❑ Non-UCC Filing 7. ALTERNATIVE DESIGNATION (if applicable): 0 Lessee/Lessor 0 Consignee/Consignor 0 Seller/Buyer 0 Bailee/Bailor ❑ Licensee/Licensor 8. OPTIONAL FILER REFERENCE DATA: HALL COUNTY, NEBRASKA ISPC FILE # 1922453 WH FILING OFFICE COPY —UCC FINANCING STATEMENT (Form UCC1) (Rev. 07/01/23)