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UCC FINANCING STATEMENT

UCC FINANCING STATEMENT . FOLLOW INSTRUCTIONS. A. NAME & PHONE OF CONTACT AT FILER (optional). B. E-MAIL CONTACT AT FILER (optional). C. SEND ACKNOWLEDGMENT TO: (Name and Address). THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY. 1. DEBTOR'S NAME: Provide only one Debtor name (1a 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). 1a. ORGANIZATION'S NAME. OR. 1b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX. 1c. MAILING ADDRESS CITY STATE POSTAL CODE COUNTRY. 2. DEBTOR'S 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 UCC1Ad).

ucc financing statement (form ucc1) (rev. 04/20/11) the above space is for filing office use only ucc financing statement follow instructions a. name & phone of contact at filer (optional) or 1a. organization's name 1c. mailing address city postal code 1b. individual's surname state country 8. optional filer reference data:

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Transcription of UCC FINANCING STATEMENT

1 UCC FINANCING STATEMENT . FOLLOW INSTRUCTIONS. A. NAME & PHONE OF CONTACT AT FILER (optional). B. E-MAIL CONTACT AT FILER (optional). C. SEND ACKNOWLEDGMENT TO: (Name and Address). THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY. 1. DEBTOR'S NAME: Provide only one Debtor name (1a 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). 1a. ORGANIZATION'S NAME. OR. 1b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX. 1c. MAILING ADDRESS CITY STATE POSTAL CODE COUNTRY. 2. DEBTOR'S 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 UCC1Ad).

2 2a. ORGANIZATION'S NAME. OR. 2b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX. 2c. MAILING ADDRESS CITY STATE POSTAL CODE COUNTRY. 3. SECURED PARTY'S NAME (or NAME of ASSIGNEE of ASSIGNOR SECURED PARTY): Provide only one Secured Party name (3a or 3b). 3a. ORGANIZATION'S NAME. OR. 3b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX. 3c. MAILING ADDRESS CITY STATE POSTAL CODE COUNTRY. 4. COLLATERAL: This FINANCING STATEMENT covers the following collateral: 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 Manufactured-Home Transaction A Debtor is a Transmitting Utility Agricultural Lien Non-UCC Filing 7. ALTERNATIVE DESIGNATION (if applicable): Lessee/Lessor Consignee/Consignor Seller/Buyer Bailee/Bailor Licensee/Licensor 8.

3 OPTIONAL FILER REFERENCE DATA: UCC FINANCING STATEMENT (Form UCC1) (Rev. 04/20/11).

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