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CASH CHECK FINANCING STATEMENT W INSTRUCTIONS 1E & PHONE OF CONTACT AT SUBMITTER (optional) COORDINATOR (813) 490-3400 AIL CONTACT AT SUBMITTER (optional) INST 7 ID ACKNOWLEDGMENT TO: (Name and Address) ISPC 1115 GUNN HWY STE 100 LODESSA FL 33556 SEE BELOW FOR SECURED PARTY CONTACT INFORMATION Lizrlo 5 009140 REFUNDS:_. CASH. CHE :K RECORDED HALL COUNTY NE 2025 FE5 214 A 11: 28 KRISf 1 WOO REGISTER OF DEEDS THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY 1. DEBTOR'S NAME: Provide only gge Debtor name (la or 1b) (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 1b, leave all of item 1 blank, check here ❑ and provide the Individual Debtor information in item 10 of the Financing Statement Addendum (Form UCC1Ad) /LP OR la. ORGANIZATION'S NAME lb. INDIVIDUAL'S SURNAME WIEDEL FIRST PERSONAL NAME KATIE ADDITIONAL NAME(S)/INITIAL(S) SUFFIX lc. MAILING ADDRESS 4729 CALVIN DR 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 fine 2b, leave all of item 2 blank, check here ❑ and provide the Individual Debtor information in item 10 of the Financing Statement Addendum (Form UCC1Ad) OR 2a. ORGANIZATION'S NAME 2b. INDIVIDUAL'S SURNAME WIEDEL FIRST PERSONAL NAME BRANDON ADDITIONAL NAME(S)/INITIAL(S) SUFFIX 2c. MAILING ADDRESS 4729 CALVIN DR 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 Qne Secured Party name (3a or 3b) OR 3a. ORGANIZATION'S 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: ❑ Public -Finance Transaction ❑ Manufactured -Home Transaction ❑ A Debtor is a Transmitting Utility 6b. Check only if applicable and check only one box: ❑ Agricultural Lien ❑ Non-UCC Filing 7. ALTERNATIVE DESIGNATION (if applicable): ❑ Lessee/Lessor ❑ Consignee/Consignor ❑ Seller/Buyer ❑ Bailee/Bailor ❑ Licensee/Licensor 8. OPTIONAL FILER REFERENCE DATA: HALL COUNTY, NEBRASKA ISPC FILE # 1927638 WH FILING OFFICE COPY —UCC FINANCING STATEMENT (Form UCC1) (Rev. 07/01/23)