Escolar Documentos
Profissional Documentos
Cultura Documentos
FOLLOW INSTRUCTIONS
A. NAME & PHONE OF CONTACT AT FILER (optional)
Frasberg Selassie
(202) 486-7720
B. E-MAIL CONTACT AT FILER (optional)
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
SABLES, LLC
OR
1b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX
OR
2b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX
BUSBY MICHAEL
2c. MAILING ADDRESS CITY STATE POSTAL CODE COUNTRY
9435 WEST RUSSELL ROAD, SUITE 120 LAS VEGAS NV 89148 USA
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
Selassie Frasberg
3c. MAILING ADDRESS CITY STATE POSTAL CODE COUNTRY
non-assumpsit/TDC: c/o 8221 Hydra Ln Las Vegas CA 89128-9998 UMI
4. COLLATERAL: This financing statement covers the following collateral:
Official Records in the office of the Recorder of Clark County, Nevada, Described as follows:
LOT ONE HUNDRED SEVENTY-EIGHT (178) IN BOOK SIX (6) OF CIMARRON RIDGE UNIT 4, AS SHOWN BY MAP
THEREOF ON FILE IN BOOK 51 OF PLATS,
PAGE 75, IN THE OFFICE OF THE COUNTY RECORDER OF CLARK COUNTY, NEVADA.
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
10. DEBTOR'S NAME: Provide (10a or 10b) only one additional Debtor name or Debtor name that did not fit in line 1b or 2b of the Financing Statement (Form UCC1) (use exact, full name; do not omit,
modify, or abbreviate any part of the Debtor’s name) and enter the mailing address in line 10c
OR
INDIVIDUAL'S FIRST PERSONAL NAME
11. ADDITIONAL SECURED PARTY'S NAME or ASSIGNOR SECURED PARTY'S NAME: Provide only one name (11a or 11b)
11a. ORGANIZATION'S NAME
OR
11b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX
13. This FINANCING STATEMENT is to be filed [for record] (or recorded) in the REAL ESTATE 14. This FINANCING STATEMENT:
RECORDS (if applicable) covers timber to be cut covers as-extracted collateral is filed as a fixture filing.
15. Name and address of RECORD OWNER of real estate described in item 16 (if Debtor 16. Description of real estate:
does not have a record interest):
17. MISCELLANEOUS:
1a. INITIAL FINANCING STATEMENT FILE NUMBER 1b. This FINANCING STATEMENT AMENDMENT is to be filed [for record] (or
recorded) in the REAL ESTATE RECORDS. Filer: Attach Amendment Addendum
19-7698135675 (Form UCC3Ad) and provide Debtor's name in item 13
2. TERMINATION: Effectiveness of the Financing Statement identified above is terminated with respect to the security interest(s) of Secured Party authorizing this Termination Statement
3. ASSIGNMENT (full or partial): Provide name of Assignee in item 7a or 7b, and address of Assignee in item 7c and name of Assignor in item 9
For partial assignment, complete items 7 and 9 and also indicate affected collateral in item 8
4. CONTINUATION: Effectiveness of the Financing Statement identified above with respect to the security interest(s) of Secured Party authorizing this Continuation Statement is continued for the
additional period provided by applicable law
6. CURRENT RECORD INFORMATION: Complete for Party Information Change - provide only one name (6a or 6b)
6a. ORGANIZATION'S NAME
OR
6b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX
7. CHANGED OR ADDED INFORMATION: Complete for Assignment or Party Information Change - provide only one name (7a or 7b) (use exact, full name; do not omit, modify, or abbreviate any part of the
Debtor's name)
7a. ORGANIZATION'S NAME
9. NAME OF SECURED PARTY OF RECORD AUTHORIZING THIS AMENDMENT: Provide only one name (9a or 9b) (name of Assignor, if this is an Assignment)
If this is an Amendment authorized by a DEBTOR, check here and provide name of authorizing Debtor
a. ORGANIZATION'S NAME
OR
b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX
Selassie Frasberg
10. OPTIONAL FILER REFERENCE DATA:
Signed By Secured Party Frasberg Selassie, UCC 1-308 Without Prejudice.
20. NAME OF PARTY AUTHORIZING THIS AMENDMENT: Same as item 9 on Amendment form
20a. ORGANIZATION'S NAME
22. ADDITIONAL DEBTOR'S NAME - : Provide only one Debtor name (22a or 22b)(use exact, full name; do not omit, modify, or abbreviate any part of the Debtor's name)
22a. ORGANIZATION'S NAME
OR
22b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX
WOMACK LORI
23. ADDITIONAL DEBTOR'S NAME - : Provide only one Debtor name (23a or 23b)(use exact, full name; do not omit, modify, or abbreviate any part of the Debtor's name)
23a. ORGANIZATION'S NAME
OR
23b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX
ZIEVE LES
24. ADDITIONAL SECURED PARTY'S NAME or ASSIGNOR SECURED PARTY'S NAME: Provide only one name (24a or 24b)
24a. ORGANIZATION'S NAME
OR
24b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX
25. ADDITIONAL SECURED PARTY'S NAME or ASSIGNOR SECURED PARTY'S NAME: Provide only one name (25a or 25b)
25a. ORGANIZATION'S NAME
OR
25b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX
26. MISCELLANEOUS:
1a. INITIAL FINANCING STATEMENT FILE NUMBER 1b. This FINANCING STATEMENT AMENDMENT is to be filed [for record] (or
recorded) in the REAL ESTATE RECORDS. Filer: Attach Amendment Addendum
19-7698135675 (Form UCC3Ad) and provide Debtor's name in item 13
2. TERMINATION: Effectiveness of the Financing Statement identified above is terminated with respect to the security interest(s) of Secured Party authorizing this Termination Statement
3. ASSIGNMENT (full or partial): Provide name of Assignee in item 7a or 7b, and address of Assignee in item 7c and name of Assignor in item 9
For partial assignment, complete items 7 and 9 and also indicate affected collateral in item 8
4. CONTINUATION: Effectiveness of the Financing Statement identified above with respect to the security interest(s) of Secured Party authorizing this Continuation Statement is continued for the
additional period provided by applicable law
6. CURRENT RECORD INFORMATION: Complete for Party Information Change - provide only one name (6a or 6b)
6a. ORGANIZATION'S NAME
OR
6b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX
Selassie Frasberg
7. CHANGED OR ADDED INFORMATION: Complete for Assignment or Party Information Change - provide only one name (7a or 7b) (use exact, full name; do not omit, modify, or abbreviate any part of the
Debtor's name)
7a. ORGANIZATION'S NAME
Adjustment with this filing is in accord U C C section 1-103 and 101; House Joint Resolution 192 of June 5, 1933; Public Law: Chapter
48,48 Stat. 112; (see attachment addendum) Secured Party accepts DEBTOR signature in accord with U C C section 1-201(39), 2-401.
9. NAME OF SECURED PARTY OF RECORD AUTHORIZING THIS AMENDMENT: Provide only one name (9a or 9b) (name of Assignor, if this is an Assignment)
If this is an Amendment authorized by a DEBTOR, check here and provide name of authorizing Debtor
a. ORGANIZATION'S NAME
OR
b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX
Selassie Frasberg
10. OPTIONAL FILER REFERENCE DATA:
Signed By Secured Party Frasberg Selassie, UCC 1-308 Without Prejudice.
FILING OFFICE COPY
Page 2
12. NAME OF PARTY AUTHORIZING THIS AMENDMENT: Same as item 9 on Amendment form
12a. ORGANIZATION'S NAME
a. ORGANIZATION'S NAME
OR
b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX
The Secured Party Creditor holds the superior claim, security interest and lien on ALL of the property of the DEBTOR; holds the
DROIT-DROIT (double right) to ALL of the property, rights titles, and interests above all others, including the ''STATE''; and ALL of
the property thereof. Furthermore, the Secured Party Creditor is EXEMPT FROM LEVY (Fines, Fees, taxes, etc.) in all forums pursuant
to
HJR-192, Public Law 95-147, 91 Stat. 1227, U C C-1-104 & 10-104, via 31 u.s.c. § 5118; 22 U.S.C § 2281, U.S. Constitution. Art. 1V,
CI.
LOT ONE HUNDRED SEVENTY-EIGHT (178) IN BOOK SIX (6) OF CIMARRON RIDGE UNIT 4, AS SHOWN BY MAP
PAGE 75, IN THE OFFICE OF THE COUNTY RECORDER OF CLARK COUNTY, NEVADA.
ALL ASSET OF THE DEBTOR, INCLUDING, BUT NOT LIMITED TO, ANY AND ALL EQUIPMENT, FIXTURES, PROCEEDS,
PROMISSORY NOTES, LICENSES, CERTIFICATES, DEEDS, INSTRUMENT#, CHATTEL PAPERS, BANK ACCOUNTS, DUNS#;
INCOME FROM EVERY SOURCE, ACCOUNTS, PARCEL NUMBER# 138-28-112-039, LETTER OF CREDIT, INVENTORY. . .
THE DEBTOR.
16. Name and address of RECORD OWNER of real estate described in item 17 (if Debtor does not
have a record interest):
18. MISCELLANEOUS:
1a. INITIAL FINANCING STATEMENT FILE NUMBER 1b. This FINANCING STATEMENT AMENDMENT is to be filed [for record] (or
recorded) in the REAL ESTATE RECORDS. Filer: Attach Amendment Addendum
19-7698135675 (Form UCC3Ad) and provide Debtor's name in item 13
2. TERMINATION: Effectiveness of the Financing Statement identified above is terminated with respect to the security interest(s) of Secured Party authorizing this Termination Statement
3. ASSIGNMENT (full or partial): Provide name of Assignee in item 7a or 7b, and address of Assignee in item 7c and name of Assignor in item 9
For partial assignment, complete items 7 and 9 and also indicate affected collateral in item 8
4. CONTINUATION: Effectiveness of the Financing Statement identified above with respect to the security interest(s) of Secured Party authorizing this Continuation Statement is continued for the
additional period provided by applicable law
6. CURRENT RECORD INFORMATION: Complete for Party Information Change - provide only one name (6a or 6b)
6a. ORGANIZATION'S NAME
OR
6b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX
Selassie Frasberg
7. CHANGED OR ADDED INFORMATION: Complete for Assignment or Party Information Change - provide only one name (7a or 7b) (use exact, full name; do not omit, modify, or abbreviate any part of the
Debtor's name)
7a. ORGANIZATION'S NAME
OR
INDIVIDUAL'S FIRST PERSONAL NAME
8. COLLATERAL CHANGE: Also check one of these four boxes: ADD collateral DELETE collateral RESTATE covered collateral ASSIGN collateral
Indicate collateral:
9. NAME OF SECURED PARTY OF RECORD AUTHORIZING THIS AMENDMENT: Provide only one name (9a or 9b) (name of Assignor, if this is an Assignment)
If this is an Amendment authorized by a DEBTOR, check here and provide name of authorizing Debtor
a. ORGANIZATION'S NAME
OR
b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX
Selassie Frasberg
10. OPTIONAL FILER REFERENCE DATA:
1a. INITIAL FINANCING STATEMENT FILE NUMBER 1b. This FINANCING STATEMENT AMENDMENT is to be filed [for record] (or
recorded) in the REAL ESTATE RECORDS. Filer: Attach Amendment Addendum
19-7698135675 (Form UCC3Ad) and provide Debtor's name in item 13
2. TERMINATION: Effectiveness of the Financing Statement identified above is terminated with respect to the security interest(s) of Secured Party authorizing this Termination Statement
3. ASSIGNMENT (full or partial): Provide name of Assignee in item 7a or 7b, and address of Assignee in item 7c and name of Assignor in item 9
For partial assignment, complete items 7 and 9 and also indicate affected collateral in item 8
4. CONTINUATION: Effectiveness of the Financing Statement identified above with respect to the security interest(s) of Secured Party authorizing this Continuation Statement is continued for the
additional period provided by applicable law
6. CURRENT RECORD INFORMATION: Complete for Party Information Change - provide only one name (6a or 6b)
6a. ORGANIZATION'S NAME
OR
6b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX
7. CHANGED OR ADDED INFORMATION: Complete for Assignment or Party Information Change - provide only one name (7a or 7b) (use exact, full name; do not omit, modify, or abbreviate any part of the
Debtor's name)
7a. ORGANIZATION'S NAME
OR
INDIVIDUAL'S FIRST PERSONAL NAME
8. COLLATERAL CHANGE: Also check one of these four boxes: ADD collateral DELETE collateral RESTATE covered collateral ASSIGN collateral
Indicate collateral:
Insurance Policy Number: 28-B7-G453-3
9. NAME OF SECURED PARTY OF RECORD AUTHORIZING THIS AMENDMENT: Provide only one name (9a or 9b) (name of Assignor, if this is an Assignment)
If this is an Amendment authorized by a DEBTOR, check here and provide name of authorizing Debtor
a. ORGANIZATION'S NAME
OR
b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX
Selassie Frasberg
10. OPTIONAL FILER REFERENCE DATA:
Signed By Secured Party Frasberg Selassie, UCC 1-308 Without Prejudice.
1a. INITIAL FINANCING STATEMENT FILE NUMBER 1b. This FINANCING STATEMENT AMENDMENT is to be filed [for record] (or
recorded) in the REAL ESTATE RECORDS. Filer: Attach Amendment Addendum
19-7698135170 (Form UCC3Ad) and provide Debtor's name in item 13
2. TERMINATION: Effectiveness of the Financing Statement identified above is terminated with respect to the security interest(s) of Secured Party authorizing this Termination Statement
3. ASSIGNMENT (full or partial): Provide name of Assignee in item 7a or 7b, and address of Assignee in item 7c and name of Assignor in item 9
For partial assignment, complete items 7 and 9 and also indicate affected collateral in item 8
4. CONTINUATION: Effectiveness of the Financing Statement identified above with respect to the security interest(s) of Secured Party authorizing this Continuation Statement is continued for the
additional period provided by applicable law
6. CURRENT RECORD INFORMATION: Complete for Party Information Change - provide only one name (6a or 6b)
6a. ORGANIZATION'S NAME
OR
6b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX
7. CHANGED OR ADDED INFORMATION: Complete for Assignment or Party Information Change - provide only one name (7a or 7b) (use exact, full name; do not omit, modify, or abbreviate any part of the
Debtor's name)
7a. ORGANIZATION'S NAME
9. NAME OF SECURED PARTY OF RECORD AUTHORIZING THIS AMENDMENT: Provide only one name (9a or 9b) (name of Assignor, if this is an Assignment)
If this is an Amendment authorized by a DEBTOR, check here and provide name of authorizing Debtor
a. ORGANIZATION'S NAME
OR
b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX
Selassie Frasberg
10. OPTIONAL FILER REFERENCE DATA:
Signed By Secured Party Frasberg Selassie, UCC 1-308 Without Prejudice.
20. NAME OF PARTY AUTHORIZING THIS AMENDMENT: Same as item 9 on Amendment form
20a. ORGANIZATION'S NAME
22. ADDITIONAL DEBTOR'S NAME - : Provide only one Debtor name (22a or 22b)(use exact, full name; do not omit, modify, or abbreviate any part of the Debtor's name)
22a. ORGANIZATION'S NAME
OR
22b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX
STEELE JOHN
23. ADDITIONAL DEBTOR'S NAME - : Provide only one Debtor name (23a or 23b)(use exact, full name; do not omit, modify, or abbreviate any part of the Debtor's name)
23a. ORGANIZATION'S NAME
LES ZIEVE
OR
23b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX
24. ADDITIONAL SECURED PARTY'S NAME or ASSIGNOR SECURED PARTY'S NAME: Provide only one name (24a or 24b)
24a. ORGANIZATION'S NAME
OR
24b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX
25. ADDITIONAL SECURED PARTY'S NAME or ASSIGNOR SECURED PARTY'S NAME: Provide only one name (25a or 25b)
25a. ORGANIZATION'S NAME
OR
25b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX
26. MISCELLANEOUS:
20. NAME OF PARTY AUTHORIZING THIS AMENDMENT: Same as item 9 on Amendment form
20a. ORGANIZATION'S NAME
22. ADDITIONAL DEBTOR'S NAME - : Provide only one Debtor name (22a or 22b)(use exact, full name; do not omit, modify, or abbreviate any part of the Debtor's name)
22a. ORGANIZATION'S NAME
WADE, SHADD - ORGANIZATION/TRADENAME/TRADEMARK/REGISTERED AGENT - DEBTOR
OR
22b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX
23. ADDITIONAL DEBTOR'S NAME - : Provide only one Debtor name (23a or 23b)(use exact, full name; do not omit, modify, or abbreviate any part of the Debtor's name)
23a. ORGANIZATION'S NAME
ZIEVE, LES - ORGANIZATION/TRADENAME/TRADEMARK - DEBTOR
OR
23b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX
24. ADDITIONAL SECURED PARTY'S NAME or ASSIGNOR SECURED PARTY'S NAME: Provide only one name (24a or 24b)
24a. ORGANIZATION'S NAME
OR
24b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX
25. ADDITIONAL SECURED PARTY'S NAME or ASSIGNOR SECURED PARTY'S NAME: Provide only one name (25a or 25b)
25a. ORGANIZATION'S NAME
OR
25b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX
26. MISCELLANEOUS:
1a. INITIAL FINANCING STATEMENT FILE NUMBER 1b. This FINANCING STATEMENT AMENDMENT is to be filed [for record] (or
recorded) in the REAL ESTATE RECORDS. Filer: Attach Amendment Addendum
19-7698135170 (Form UCC3Ad) and provide Debtor's name in item 13
2. TERMINATION: Effectiveness of the Financing Statement identified above is terminated with respect to the security interest(s) of Secured Party authorizing this Termination Statement
3. ASSIGNMENT (full or partial): Provide name of Assignee in item 7a or 7b, and address of Assignee in item 7c and name of Assignor in item 9
For partial assignment, complete items 7 and 9 and also indicate affected collateral in item 8
4. CONTINUATION: Effectiveness of the Financing Statement identified above with respect to the security interest(s) of Secured Party authorizing this Continuation Statement is continued for the
additional period provided by applicable law
6. CURRENT RECORD INFORMATION: Complete for Party Information Change - provide only one name (6a or 6b)
6a. ORGANIZATION'S NAME
OR
6b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX
7. CHANGED OR ADDED INFORMATION: Complete for Assignment or Party Information Change - provide only one name (7a or 7b) (use exact, full name; do not omit, modify, or abbreviate any part of the
Debtor's name)
7a. ORGANIZATION'S NAME
9. NAME OF SECURED PARTY OF RECORD AUTHORIZING THIS AMENDMENT: Provide only one name (9a or 9b) (name of Assignor, if this is an Assignment)
If this is an Amendment authorized by a DEBTOR, check here and provide name of authorizing Debtor
a. ORGANIZATION'S NAME
OR
b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX
Selassie Frasberg
10. OPTIONAL FILER REFERENCE DATA:
Signed By Secured Party Frasberg Selassie, UCC 1-308 Without Prejudice.
20. NAME OF PARTY AUTHORIZING THIS AMENDMENT: Same as item 9 on Amendment form
20a. ORGANIZATION'S NAME
22. ADDITIONAL DEBTOR'S NAME - : Provide only one Debtor name (22a or 22b)(use exact, full name; do not omit, modify, or abbreviate any part of the Debtor's name)
22a. ORGANIZATION'S NAME
OR
22b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX
23. ADDITIONAL DEBTOR'S NAME - : Provide only one Debtor name (23a or 23b)(use exact, full name; do not omit, modify, or abbreviate any part of the Debtor's name)
23a. ORGANIZATION'S NAME
OR
23b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX
24. ADDITIONAL SECURED PARTY'S NAME or ASSIGNOR SECURED PARTY'S NAME: Provide only one name (24a or 24b)
24a. ORGANIZATION'S NAME
OR
24b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX
25. ADDITIONAL SECURED PARTY'S NAME or ASSIGNOR SECURED PARTY'S NAME: Provide only one name (25a or 25b)
25a. ORGANIZATION'S NAME
OR
25b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX
26. MISCELLANEOUS:
1a. INITIAL FINANCING STATEMENT FILE NUMBER 1b. This FINANCING STATEMENT AMENDMENT is to be filed [for record] (or
recorded) in the REAL ESTATE RECORDS. Filer: Attach Amendment Addendum
19-7698135170 (Form UCC3Ad) and provide Debtor's name in item 13
2. TERMINATION: Effectiveness of the Financing Statement identified above is terminated with respect to the security interest(s) of Secured Party authorizing this Termination Statement
3. ASSIGNMENT (full or partial): Provide name of Assignee in item 7a or 7b, and address of Assignee in item 7c and name of Assignor in item 9
For partial assignment, complete items 7 and 9 and also indicate affected collateral in item 8
4. CONTINUATION: Effectiveness of the Financing Statement identified above with respect to the security interest(s) of Secured Party authorizing this Continuation Statement is continued for the
additional period provided by applicable law
6. CURRENT RECORD INFORMATION: Complete for Party Information Change - provide only one name (6a or 6b)
6a. ORGANIZATION'S NAME
OR
6b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX
7. CHANGED OR ADDED INFORMATION: Complete for Assignment or Party Information Change - provide only one name (7a or 7b) (use exact, full name; do not omit, modify, or abbreviate any part of the
Debtor's name)
7a. ORGANIZATION'S NAME
DOLEMBO, STEPHEN - ORGANIZATION/TRADENAME/TRADEMARK - DEBTOR
7b. INDIVIDUAL'S SURNAME
OR
INDIVIDUAL'S FIRST PERSONAL NAME
9. NAME OF SECURED PARTY OF RECORD AUTHORIZING THIS AMENDMENT: Provide only one name (9a or 9b) (name of Assignor, if this is an Assignment)
If this is an Amendment authorized by a DEBTOR, check here and provide name of authorizing Debtor
a. ORGANIZATION'S NAME
OR
b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX
Selassie Frasberg
10. OPTIONAL FILER REFERENCE DATA:
Signed By Secured Party Frasberg Selassie, UCC 1-308 Without Prejudice.
20. NAME OF PARTY AUTHORIZING THIS AMENDMENT: Same as item 9 on Amendment form
20a. ORGANIZATION'S NAME
22. ADDITIONAL DEBTOR'S NAME - : Provide only one Debtor name (22a or 22b)(use exact, full name; do not omit, modify, or abbreviate any part of the Debtor's name)
22a. ORGANIZATION'S NAME
OR
22b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX
23. ADDITIONAL DEBTOR'S NAME - : Provide only one Debtor name (23a or 23b)(use exact, full name; do not omit, modify, or abbreviate any part of the Debtor's name)
23a. ORGANIZATION'S NAME
OR
23b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX
24. ADDITIONAL SECURED PARTY'S NAME or ASSIGNOR SECURED PARTY'S NAME: Provide only one name (24a or 24b)
24a. ORGANIZATION'S NAME
OR
24b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX
25. ADDITIONAL SECURED PARTY'S NAME or ASSIGNOR SECURED PARTY'S NAME: Provide only one name (25a or 25b)
25a. ORGANIZATION'S NAME
OR
25b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX
26. MISCELLANEOUS:
1a. INITIAL FINANCING STATEMENT FILE NUMBER 1b. This FINANCING STATEMENT AMENDMENT is to be filed [for record] (or
recorded) in the REAL ESTATE RECORDS. Filer: Attach Amendment Addendum
19-7698135170 (Form UCC3Ad) and provide Debtor's name in item 13
2. TERMINATION: Effectiveness of the Financing Statement identified above is terminated with respect to the security interest(s) of Secured Party authorizing this Termination Statement
3. ASSIGNMENT (full or partial): Provide name of Assignee in item 7a or 7b, and address of Assignee in item 7c and name of Assignor in item 9
For partial assignment, complete items 7 and 9 and also indicate affected collateral in item 8
4. CONTINUATION: Effectiveness of the Financing Statement identified above with respect to the security interest(s) of Secured Party authorizing this Continuation Statement is continued for the
additional period provided by applicable law
6. CURRENT RECORD INFORMATION: Complete for Party Information Change - provide only one name (6a or 6b)
6a. ORGANIZATION'S NAME
OR
6b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX
7. CHANGED OR ADDED INFORMATION: Complete for Assignment or Party Information Change - provide only one name (7a or 7b) (use exact, full name; do not omit, modify, or abbreviate any part of the
Debtor's name)
7a. ORGANIZATION'S NAME
Ethiopian World Federation, Incorporated
7b. INDIVIDUAL'S SURNAME
OR
INDIVIDUAL'S FIRST PERSONAL NAME
9. NAME OF SECURED PARTY OF RECORD AUTHORIZING THIS AMENDMENT: Provide only one name (9a or 9b) (name of Assignor, if this is an Assignment)
If this is an Amendment authorized by a DEBTOR, check here and provide name of authorizing Debtor
a. ORGANIZATION'S NAME
OR
b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX
Selassie Frasberg
10. OPTIONAL FILER REFERENCE DATA:
Signed By Secured Party Frasberg Selassie, UCC 1-308 Without Prejudice.
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75823395 01234516
AMENDMENT
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75823395 01234516
UCC FINANCING STATEMENT AMENDMENT
FOLLOW INSTRUCTIONS
A. NAME & PHONE OF CONTACT AT FILER (optional)
Frasberg Selassie
(202) 486-7720
B. E-MAIL CONTACT AT FILER (optional)
1a. INITIAL FINANCING STATEMENT FILE NUMBER 1b. This FINANCING STATEMENT AMENDMENT is to be filed [for record] (or
recorded) in the REAL ESTATE RECORDS. Filer: Attach Amendment Addendum
19-7698135170 (Form UCC3Ad) and provide Debtor's name in item 13
2. TERMINATION: Effectiveness of the Financing Statement identified above is terminated with respect to the security interest(s) of Secured Party authorizing this Termination Statement
3. ASSIGNMENT (full or partial): Provide name of Assignee in item 7a or 7b, and address of Assignee in item 7c and name of Assignor in item 9
For partial assignment, complete items 7 and 9 and also indicate affected collateral in item 8
4. CONTINUATION: Effectiveness of the Financing Statement identified above with respect to the security interest(s) of Secured Party authorizing this Continuation Statement is continued for the
additional period provided by applicable law
6. CURRENT RECORD INFORMATION: Complete for Party Information Change - provide only one name (6a or 6b)
6a. ORGANIZATION'S NAME
OR
6b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX
7. CHANGED OR ADDED INFORMATION: Complete for Assignment or Party Information Change - provide only one name (7a or 7b) (use exact, full name; do not omit, modify, or abbreviate any part of the
Debtor's name)
7a. ORGANIZATION'S NAME
LAW OFFICES OF LES ZIEVE
7b. INDIVIDUAL'S SURNAME
OR
INDIVIDUAL'S FIRST PERSONAL NAME
9. NAME OF SECURED PARTY OF RECORD AUTHORIZING THIS AMENDMENT: Provide only one name (9a or 9b) (name of Assignor, if this is an Assignment)
If this is an Amendment authorized by a DEBTOR, check here and provide name of authorizing Debtor
a. ORGANIZATION'S NAME
OR
b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX
Selassie Frasberg
10. OPTIONAL FILER REFERENCE DATA:
Signed By Secured Party Frasberg Selassie, UCC 1-308 Without Prejudice.
20. NAME OF PARTY AUTHORIZING THIS AMENDMENT: Same as item 9 on Amendment form
20a. ORGANIZATION'S NAME
22. ADDITIONAL DEBTOR'S NAME - : Provide only one Debtor name (22a or 22b)(use exact, full name; do not omit, modify, or abbreviate any part of the Debtor's name)
22a. ORGANIZATION'S NAME
PETIPRIN, DAVID - ORGANIZATION/TRADENAME/TRADEMARK - DEBTOR
OR
22b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX
23. ADDITIONAL DEBTOR'S NAME - : Provide only one Debtor name (23a or 23b)(use exact, full name; do not omit, modify, or abbreviate any part of the Debtor's name)
23a. ORGANIZATION'S NAME
SPECIALIZED LOAN SERVICING
OR
23b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX
24. ADDITIONAL SECURED PARTY'S NAME or ASSIGNOR SECURED PARTY'S NAME: Provide only one name (24a or 24b)
24a. ORGANIZATION'S NAME
OR
24b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX
25. ADDITIONAL SECURED PARTY'S NAME or ASSIGNOR SECURED PARTY'S NAME: Provide only one name (25a or 25b)
25a. ORGANIZATION'S NAME
OR
25b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX
26. MISCELLANEOUS:
20. NAME OF PARTY AUTHORIZING THIS AMENDMENT: Same as item 9 on Amendment form
20a. ORGANIZATION'S NAME
22. ADDITIONAL DEBTOR'S NAME - : Provide only one Debtor name (22a or 22b)(use exact, full name; do not omit, modify, or abbreviate any part of the Debtor's name)
22a. ORGANIZATION'S NAME
OR
22b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX
PETIPRIN DAVID BENJAMIN
23. ADDITIONAL DEBTOR'S NAME - : Provide only one Debtor name (23a or 23b)(use exact, full name; do not omit, modify, or abbreviate any part of the Debtor's name)
23a. ORGANIZATION'S NAME
OR
23b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX
24. ADDITIONAL SECURED PARTY'S NAME or ASSIGNOR SECURED PARTY'S NAME: Provide only one name (24a or 24b)
24a. ORGANIZATION'S NAME
OR
24b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX
25. ADDITIONAL SECURED PARTY'S NAME or ASSIGNOR SECURED PARTY'S NAME: Provide only one name (25a or 25b)
25a. ORGANIZATION'S NAME
OR
25b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX
26. MISCELLANEOUS:
1a. INITIAL FINANCING STATEMENT FILE NUMBER 1b. This FINANCING STATEMENT AMENDMENT is to be filed [for record] (or
recorded) in the REAL ESTATE RECORDS. Filer: Attach Amendment Addendum
19-7698135170 (Form UCC3Ad) and provide Debtor's name in item 13
2. TERMINATION: Effectiveness of the Financing Statement identified above is terminated with respect to the security interest(s) of Secured Party authorizing this Termination Statement
3. ASSIGNMENT (full or partial): Provide name of Assignee in item 7a or 7b, and address of Assignee in item 7c and name of Assignor in item 9
For partial assignment, complete items 7 and 9 and also indicate affected collateral in item 8
4. CONTINUATION: Effectiveness of the Financing Statement identified above with respect to the security interest(s) of Secured Party authorizing this Continuation Statement is continued for the
additional period provided by applicable law
6. CURRENT RECORD INFORMATION: Complete for Party Information Change - provide only one name (6a or 6b)
6a. ORGANIZATION'S NAME
OR
6b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX
7. CHANGED OR ADDED INFORMATION: Complete for Assignment or Party Information Change - provide only one name (7a or 7b) (use exact, full name; do not omit, modify, or abbreviate any part of the
Debtor's name)
7a. ORGANIZATION'S NAME
DAVID BENJAMIN PETIPRIN
7b. INDIVIDUAL'S SURNAME
OR
INDIVIDUAL'S FIRST PERSONAL NAME
9. NAME OF SECURED PARTY OF RECORD AUTHORIZING THIS AMENDMENT: Provide only one name (9a or 9b) (name of Assignor, if this is an Assignment)
If this is an Amendment authorized by a DEBTOR, check here and provide name of authorizing Debtor
a. ORGANIZATION'S NAME
OR
b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX
Selassie Frasberg
10. OPTIONAL FILER REFERENCE DATA:
Signed By Secured Party Frasberg Selassie, UCC 1-308 Without Prejudice.
OR
24b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX
25. ADDITIONAL SECURED PARTY'S NAME or ASSIGNOR SECURED PARTY'S NAME: Provide only one name (25a or 25b)
25a. ORGANIZATION'S NAME
OR
25b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX
26. MISCELLANEOUS:
OR
23b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX
24. ADDITIONAL SECURED PARTY'S NAME or ASSIGNOR SECURED PARTY'S NAME: Provide only one name (24a or 24b)
24a. ORGANIZATION'S NAME
OR
24b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX
25. ADDITIONAL SECURED PARTY'S NAME or ASSIGNOR SECURED PARTY'S NAME: Provide only one name (25a or 25b)
25a. ORGANIZATION'S NAME
OR
25b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX
26. MISCELLANEOUS:
1a. INITIAL FINANCING STATEMENT FILE NUMBER 1b. This FINANCING STATEMENT AMENDMENT is to be filed [for record] (or
recorded) in the REAL ESTATE RECORDS. Filer: Attach Amendment Addendum
19-7698135170 (Form UCC3Ad) and provide Debtor's name in item 13
2. TERMINATION: Effectiveness of the Financing Statement identified above is terminated with respect to the security interest(s) of Secured Party authorizing this Termination Statement
3. ASSIGNMENT (full or partial): Provide name of Assignee in item 7a or 7b, and address of Assignee in item 7c and name of Assignor in item 9
For partial assignment, complete items 7 and 9 and also indicate affected collateral in item 8
4. CONTINUATION: Effectiveness of the Financing Statement identified above with respect to the security interest(s) of Secured Party authorizing this Continuation Statement is continued for the
additional period provided by applicable law
6. CURRENT RECORD INFORMATION: Complete for Party Information Change - provide only one name (6a or 6b)
6a. ORGANIZATION'S NAME
OR
6b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX
7. CHANGED OR ADDED INFORMATION: Complete for Assignment or Party Information Change - provide only one name (7a or 7b) (use exact, full name; do not omit, modify, or abbreviate any part of the
Debtor's name)
7a. ORGANIZATION'S NAME
Ethiopian World Federation Church
7b. INDIVIDUAL'S SURNAME
OR
INDIVIDUAL'S FIRST PERSONAL NAME
9. NAME OF SECURED PARTY OF RECORD AUTHORIZING THIS AMENDMENT: Provide only one name (9a or 9b) (name of Assignor, if this is an Assignment)
If this is an Amendment authorized by a DEBTOR, check here and provide name of authorizing Debtor
a. ORGANIZATION'S NAME
OR
b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX
Selassie Frasberg
10. OPTIONAL FILER REFERENCE DATA:
Signed By Secured Party Frasberg Selassie, UCC 1-308 Without Prejudice.
1a. INITIAL FINANCING STATEMENT FILE NUMBER 1b. This FINANCING STATEMENT AMENDMENT is to be filed [for record] (or
recorded) in the REAL ESTATE RECORDS. Filer: Attach Amendment Addendum
19-7698135170 (Form UCC3Ad) and provide Debtor's name in item 13
2. TERMINATION: Effectiveness of the Financing Statement identified above is terminated with respect to the security interest(s) of Secured Party authorizing this Termination Statement
3. ASSIGNMENT (full or partial): Provide name of Assignee in item 7a or 7b, and address of Assignee in item 7c and name of Assignor in item 9
For partial assignment, complete items 7 and 9 and also indicate affected collateral in item 8
4. CONTINUATION: Effectiveness of the Financing Statement identified above with respect to the security interest(s) of Secured Party authorizing this Continuation Statement is continued for the
additional period provided by applicable law
6. CURRENT RECORD INFORMATION: Complete for Party Information Change - provide only one name (6a or 6b)
6a. ORGANIZATION'S NAME
OR
6b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX
7. CHANGED OR ADDED INFORMATION: Complete for Assignment or Party Information Change - provide only one name (7a or 7b) (use exact, full name; do not omit, modify, or abbreviate any part of the
Debtor's name)
7a. ORGANIZATION'S NAME
SLS - ORGANIZATION/TRADENAME/TRADEMARK - DEBTOR
7b. INDIVIDUAL'S SURNAME
OR
INDIVIDUAL'S FIRST PERSONAL NAME
9. NAME OF SECURED PARTY OF RECORD AUTHORIZING THIS AMENDMENT: Provide only one name (9a or 9b) (name of Assignor, if this is an Assignment)
If this is an Amendment authorized by a DEBTOR, check here and provide name of authorizing Debtor
a. ORGANIZATION'S NAME
Ethiopian World Federation Church
OR
b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX
OR
22b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX
23. ADDITIONAL DEBTOR'S NAME - : Provide only one Debtor name (23a or 23b)(use exact, full name; do not omit, modify, or abbreviate any part of the Debtor's name)
23a. ORGANIZATION'S NAME
OR
23b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX
24. ADDITIONAL SECURED PARTY'S NAME or ASSIGNOR SECURED PARTY'S NAME: Provide only one name (24a or 24b)
24a. ORGANIZATION'S NAME
OR
24b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX
25. ADDITIONAL SECURED PARTY'S NAME or ASSIGNOR SECURED PARTY'S NAME: Provide only one name (25a or 25b)
25a. ORGANIZATION'S NAME
OR
25b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX
26. MISCELLANEOUS:
20. NAME OF PARTY AUTHORIZING THIS AMENDMENT: Same as item 9 on Amendment form
20a. ORGANIZATION'S NAME
OR
27b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX
Selassie, Frasberg
16. Name and address of RECORD OWNER of real estate described in item 17 (if Debtor does not
have a record interest):
18. MISCELLANEOUS:
1a. INITIAL FINANCING STATEMENT FILE NUMBER 1b. This FINANCING STATEMENT AMENDMENT is to be filed [for record] (or
recorded) in the REAL ESTATE RECORDS. Filer: Attach Amendment Addendum
19-7698135170 (Form UCC3Ad) and provide Debtor's name in item 13
2. TERMINATION: Effectiveness of the Financing Statement identified above is terminated with respect to the security interest(s) of Secured Party authorizing this Termination Statement
3. ASSIGNMENT (full or partial): Provide name of Assignee in item 7a or 7b, and address of Assignee in item 7c and name of Assignor in item 9
For partial assignment, complete items 7 and 9 and also indicate affected collateral in item 8
4. CONTINUATION: Effectiveness of the Financing Statement identified above with respect to the security interest(s) of Secured Party authorizing this Continuation Statement is continued for the
additional period provided by applicable law
6. CURRENT RECORD INFORMATION: Complete for Party Information Change - provide only one name (6a or 6b)
6a. ORGANIZATION'S NAME
OR
6b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX
7. CHANGED OR ADDED INFORMATION: Complete for Assignment or Party Information Change - provide only one name (7a or 7b) (use exact, full name; do not omit, modify, or abbreviate any part of the
Debtor's name)
7a. ORGANIZATION'S NAME
JOHN CHRISTOPHER STEELE
7b. INDIVIDUAL'S SURNAME
OR
INDIVIDUAL'S FIRST PERSONAL NAME
9. NAME OF SECURED PARTY OF RECORD AUTHORIZING THIS AMENDMENT: Provide only one name (9a or 9b) (name of Assignor, if this is an Assignment)
If this is an Amendment authorized by a DEBTOR, check here and provide name of authorizing Debtor
a. ORGANIZATION'S NAME
OR
b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX
Selassie Frasberg
10. OPTIONAL FILER REFERENCE DATA:
Signed By Secured Party Frasberg Selassie, UCC 1-308 Without Prejudice.
20. NAME OF PARTY AUTHORIZING THIS AMENDMENT: Same as item 9 on Amendment form
20a. ORGANIZATION'S NAME
OR
21b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX
PHAM NAMSON
22. ADDITIONAL DEBTOR'S NAME - : Provide only one Debtor name (22a or 22b)(use exact, full name; do not omit, modify, or abbreviate any part of the Debtor's name)
22a. ORGANIZATION'S NAME
PHAM, NAMSON - ORGANIZATION/TRADENAME/TRADEMARK - DEBTOR
OR
22b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX
23. ADDITIONAL DEBTOR'S NAME - : Provide only one Debtor name (23a or 23b)(use exact, full name; do not omit, modify, or abbreviate any part of the Debtor's name)
23a. ORGANIZATION'S NAME
PEETERS, JAYNE A. - ORGANIZATION/TRADENAME/TRADEMARK - DEBTOR
OR
23b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX
24. ADDITIONAL SECURED PARTY'S NAME or ASSIGNOR SECURED PARTY'S NAME: Provide only one name (24a or 24b)
24a. ORGANIZATION'S NAME
OR
24b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX
25. ADDITIONAL SECURED PARTY'S NAME or ASSIGNOR SECURED PARTY'S NAME: Provide only one name (25a or 25b)
25a. ORGANIZATION'S NAME
OR
25b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX
26. MISCELLANEOUS:
20. NAME OF PARTY AUTHORIZING THIS AMENDMENT: Same as item 9 on Amendment form
20a. ORGANIZATION'S NAME
22. ADDITIONAL DEBTOR'S NAME - : Provide only one Debtor name (22a or 22b)(use exact, full name; do not omit, modify, or abbreviate any part of the Debtor's name)
22a. ORGANIZATION'S NAME
NAMSON PHAM
OR
22b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX
23. ADDITIONAL DEBTOR'S NAME - : Provide only one Debtor name (23a or 23b)(use exact, full name; do not omit, modify, or abbreviate any part of the Debtor's name)
23a. ORGANIZATION'S NAME
JAYNE A. PEETERS
OR
23b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX
24. ADDITIONAL SECURED PARTY'S NAME or ASSIGNOR SECURED PARTY'S NAME: Provide only one name (24a or 24b)
24a. ORGANIZATION'S NAME
OR
24b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX
25. ADDITIONAL SECURED PARTY'S NAME or ASSIGNOR SECURED PARTY'S NAME: Provide only one name (25a or 25b)
25a. ORGANIZATION'S NAME
OR
25b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX
26. MISCELLANEOUS:
20. NAME OF PARTY AUTHORIZING THIS AMENDMENT: Same as item 9 on Amendment form
20a. ORGANIZATION'S NAME
22. ADDITIONAL DEBTOR'S NAME - : Provide only one Debtor name (22a or 22b)(use exact, full name; do not omit, modify, or abbreviate any part of the Debtor's name)
22a. ORGANIZATION'S NAME
OR
22b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX
23. ADDITIONAL DEBTOR'S NAME - : Provide only one Debtor name (23a or 23b)(use exact, full name; do not omit, modify, or abbreviate any part of the Debtor's name)
23a. ORGANIZATION'S NAME
OR
23b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX
24. ADDITIONAL SECURED PARTY'S NAME or ASSIGNOR SECURED PARTY'S NAME: Provide only one name (24a or 24b)
24a. ORGANIZATION'S NAME
OR
24b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX
25. ADDITIONAL SECURED PARTY'S NAME or ASSIGNOR SECURED PARTY'S NAME: Provide only one name (25a or 25b)
25a. ORGANIZATION'S NAME
OR
25b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX
26. MISCELLANEOUS:
1a. INITIAL FINANCING STATEMENT FILE NUMBER 1b. This FINANCING STATEMENT AMENDMENT is to be filed [for record] (or
recorded) in the REAL ESTATE RECORDS. Filer: Attach Amendment Addendum
19-7698135170 (Form UCC3Ad) and provide Debtor's name in item 13
2. TERMINATION: Effectiveness of the Financing Statement identified above is terminated with respect to the security interest(s) of Secured Party authorizing this Termination Statement
3. ASSIGNMENT (full or partial): Provide name of Assignee in item 7a or 7b, and address of Assignee in item 7c and name of Assignor in item 9
For partial assignment, complete items 7 and 9 and also indicate affected collateral in item 8
4. CONTINUATION: Effectiveness of the Financing Statement identified above with respect to the security interest(s) of Secured Party authorizing this Continuation Statement is continued for the
additional period provided by applicable law
6. CURRENT RECORD INFORMATION: Complete for Party Information Change - provide only one name (6a or 6b)
6a. ORGANIZATION'S NAME
OR
6b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX
7. CHANGED OR ADDED INFORMATION: Complete for Assignment or Party Information Change - provide only one name (7a or 7b) (use exact, full name; do not omit, modify, or abbreviate any part of the
Debtor's name)
7a. ORGANIZATION'S NAME
9. NAME OF SECURED PARTY OF RECORD AUTHORIZING THIS AMENDMENT: Provide only one name (9a or 9b) (name of Assignor, if this is an Assignment)
If this is an Amendment authorized by a DEBTOR, check here and provide name of authorizing Debtor
a. ORGANIZATION'S NAME
OR
b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX
Selassie Frasberg
10. OPTIONAL FILER REFERENCE DATA:
Signed By Secured Party Frasberg Selassie, UCC 1-308 Without Prejudice.
20. NAME OF PARTY AUTHORIZING THIS AMENDMENT: Same as item 9 on Amendment form
20a. ORGANIZATION'S NAME
OR
21b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX
PEETERS JAYNE
22. ADDITIONAL DEBTOR'S NAME - : Provide only one Debtor name (22a or 22b)(use exact, full name; do not omit, modify, or abbreviate any part of the Debtor's name)
22a. ORGANIZATION'S NAME
THE BANK OF NEW YORK MELLON CORPORATION
OR
22b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX
23. ADDITIONAL DEBTOR'S NAME - : Provide only one Debtor name (23a or 23b)(use exact, full name; do not omit, modify, or abbreviate any part of the Debtor's name)
23a. ORGANIZATION'S NAME
BNY MELLON
OR
23b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX
24. ADDITIONAL SECURED PARTY'S NAME or ASSIGNOR SECURED PARTY'S NAME: Provide only one name (24a or 24b)
24a. ORGANIZATION'S NAME
OR
24b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX
25. ADDITIONAL SECURED PARTY'S NAME or ASSIGNOR SECURED PARTY'S NAME: Provide only one name (25a or 25b)
25a. ORGANIZATION'S NAME
OR
25b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX
26. MISCELLANEOUS:
20. NAME OF PARTY AUTHORIZING THIS AMENDMENT: Same as item 9 on Amendment form
20a. ORGANIZATION'S NAME
22. ADDITIONAL DEBTOR'S NAME - : Provide only one Debtor name (22a or 22b)(use exact, full name; do not omit, modify, or abbreviate any part of the Debtor's name)
22a. ORGANIZATION'S NAME
BANK OF NEW YORK MELLON
OR
22b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX
23. ADDITIONAL DEBTOR'S NAME - : Provide only one Debtor name (23a or 23b)(use exact, full name; do not omit, modify, or abbreviate any part of the Debtor's name)
23a. ORGANIZATION'S NAME
OR
23b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX
24. ADDITIONAL SECURED PARTY'S NAME or ASSIGNOR SECURED PARTY'S NAME: Provide only one name (24a or 24b)
24a. ORGANIZATION'S NAME
OR
24b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX
25. ADDITIONAL SECURED PARTY'S NAME or ASSIGNOR SECURED PARTY'S NAME: Provide only one name (25a or 25b)
25a. ORGANIZATION'S NAME
OR
25b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX
26. MISCELLANEOUS:
1a. INITIAL FINANCING STATEMENT FILE NUMBER 1b. This FINANCING STATEMENT AMENDMENT is to be filed [for record] (or
recorded) in the REAL ESTATE RECORDS. Filer: Attach Amendment Addendum
19-7698135170 (Form UCC3Ad) and provide Debtor's name in item 13
2. TERMINATION: Effectiveness of the Financing Statement identified above is terminated with respect to the security interest(s) of Secured Party authorizing this Termination Statement
3. ASSIGNMENT (full or partial): Provide name of Assignee in item 7a or 7b, and address of Assignee in item 7c and name of Assignor in item 9
For partial assignment, complete items 7 and 9 and also indicate affected collateral in item 8
4. CONTINUATION: Effectiveness of the Financing Statement identified above with respect to the security interest(s) of Secured Party authorizing this Continuation Statement is continued for the
additional period provided by applicable law
6. CURRENT RECORD INFORMATION: Complete for Party Information Change - provide only one name (6a or 6b)
6a. ORGANIZATION'S NAME
OR
6b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX
7. CHANGED OR ADDED INFORMATION: Complete for Assignment or Party Information Change - provide only one name (7a or 7b) (use exact, full name; do not omit, modify, or abbreviate any part of the
Debtor's name)
7a. ORGANIZATION'S NAME
BNY MELLON ASSET MANAGEMENT OPERATIONS LLC
7b. INDIVIDUAL'S SURNAME
OR
INDIVIDUAL'S FIRST PERSONAL NAME
9. NAME OF SECURED PARTY OF RECORD AUTHORIZING THIS AMENDMENT: Provide only one name (9a or 9b) (name of Assignor, if this is an Assignment)
If this is an Amendment authorized by a DEBTOR, check here and provide name of authorizing Debtor
a. ORGANIZATION'S NAME
OR
b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX
Selassie Frasberg
10. OPTIONAL FILER REFERENCE DATA:
Signed By Secured Party Frasberg Selassie, UCC 1-308 Without Prejudice.
OR
23b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX
24. ADDITIONAL SECURED PARTY'S NAME or ASSIGNOR SECURED PARTY'S NAME: Provide only one name (24a or 24b)
24a. ORGANIZATION'S NAME
OR
24b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX
25. ADDITIONAL SECURED PARTY'S NAME or ASSIGNOR SECURED PARTY'S NAME: Provide only one name (25a or 25b)
25a. ORGANIZATION'S NAME
OR
25b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX
26. MISCELLANEOUS:
1a. INITIAL FINANCING STATEMENT FILE NUMBER 1b. This FINANCING STATEMENT AMENDMENT is to be filed [for record] (or
recorded) in the REAL ESTATE RECORDS. Filer: Attach Amendment Addendum
19-7698135170 (Form UCC3Ad) and provide Debtor's name in item 13
2. TERMINATION: Effectiveness of the Financing Statement identified above is terminated with respect to the security interest(s) of Secured Party authorizing this Termination Statement
3. ASSIGNMENT (full or partial): Provide name of Assignee in item 7a or 7b, and address of Assignee in item 7c and name of Assignor in item 9
For partial assignment, complete items 7 and 9 and also indicate affected collateral in item 8
4. CONTINUATION: Effectiveness of the Financing Statement identified above with respect to the security interest(s) of Secured Party authorizing this Continuation Statement is continued for the
additional period provided by applicable law
6. CURRENT RECORD INFORMATION: Complete for Party Information Change - provide only one name (6a or 6b)
6a. ORGANIZATION'S NAME
OR
6b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX
7. CHANGED OR ADDED INFORMATION: Complete for Assignment or Party Information Change - provide only one name (7a or 7b) (use exact, full name; do not omit, modify, or abbreviate any part of the
Debtor's name)
7a. ORGANIZATION'S NAME
LES ALAN ZIEVE #123319
7b. INDIVIDUAL'S SURNAME
OR
INDIVIDUAL'S FIRST PERSONAL NAME
9. NAME OF SECURED PARTY OF RECORD AUTHORIZING THIS AMENDMENT: Provide only one name (9a or 9b) (name of Assignor, if this is an Assignment)
If this is an Amendment authorized by a DEBTOR, check here and provide name of authorizing Debtor
a. ORGANIZATION'S NAME
OR
b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX
Selassie Frasberg
10. OPTIONAL FILER REFERENCE DATA:
Signed By Secured Party Frasberg Selassie, UCC 1-308 Without Prejudice.
OR
21b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX
ZIEVE LES A.
21c. MAILING ADDRESS CITY STATE POSTAL CODE COUNTRY
30 CORPORATE PARK, SUITE 450 IRVINE CA 92606 USA
22. ADDITIONAL DEBTOR'S NAME - : Provide only one Debtor name (22a or 22b)(use exact, full name; do not omit, modify, or abbreviate any part of the Debtor's name)
22a. ORGANIZATION'S NAME
OR
22b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX
ZIEVE LES ALAN
22c. MAILING ADDRESS CITY STATE POSTAL CODE COUNTRY
30 CORPORATE PARK, SUITE 450 IRVINE CA 92606 USA
23. ADDITIONAL DEBTOR'S NAME - : Provide only one Debtor name (23a or 23b)(use exact, full name; do not omit, modify, or abbreviate any part of the Debtor's name)
23a. ORGANIZATION'S NAME
ZIEVE, LES ALAN
OR
23b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX
OR
24b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX
25. ADDITIONAL SECURED PARTY'S NAME or ASSIGNOR SECURED PARTY'S NAME: Provide only one name (25a or 25b)
25a. ORGANIZATION'S NAME
OR
25b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX
26. MISCELLANEOUS:
20. NAME OF PARTY AUTHORIZING THIS AMENDMENT: Same as item 9 on Amendment form
20a. ORGANIZATION'S NAME
22. ADDITIONAL DEBTOR'S NAME - : Provide only one Debtor name (22a or 22b)(use exact, full name; do not omit, modify, or abbreviate any part of the Debtor's name)
22a. ORGANIZATION'S NAME
LES A. ZIEVE
OR
22b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX
23. ADDITIONAL DEBTOR'S NAME - : Provide only one Debtor name (23a or 23b)(use exact, full name; do not omit, modify, or abbreviate any part of the Debtor's name)
23a. ORGANIZATION'S NAME
LES ALAN ZIEVE
OR
23b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX
24. ADDITIONAL SECURED PARTY'S NAME or ASSIGNOR SECURED PARTY'S NAME: Provide only one name (24a or 24b)
24a. ORGANIZATION'S NAME
OR
24b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX
25. ADDITIONAL SECURED PARTY'S NAME or ASSIGNOR SECURED PARTY'S NAME: Provide only one name (25a or 25b)
25a. ORGANIZATION'S NAME
OR
25b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX
26. MISCELLANEOUS:
1a. INITIAL FINANCING STATEMENT FILE NUMBER 1b. This FINANCING STATEMENT AMENDMENT is to be filed [for record] (or
recorded) in the REAL ESTATE RECORDS. Filer: Attach Amendment Addendum
19-7698135170 (Form UCC3Ad) and provide Debtor's name in item 13
2. TERMINATION: Effectiveness of the Financing Statement identified above is terminated with respect to the security interest(s) of Secured Party authorizing this Termination Statement
3. ASSIGNMENT (full or partial): Provide name of Assignee in item 7a or 7b, and address of Assignee in item 7c and name of Assignor in item 9
For partial assignment, complete items 7 and 9 and also indicate affected collateral in item 8
4. CONTINUATION: Effectiveness of the Financing Statement identified above with respect to the security interest(s) of Secured Party authorizing this Continuation Statement is continued for the
additional period provided by applicable law
6. CURRENT RECORD INFORMATION: Complete for Party Information Change - provide only one name (6a or 6b)
6a. ORGANIZATION'S NAME
OR
6b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX
7. CHANGED OR ADDED INFORMATION: Complete for Assignment or Party Information Change - provide only one name (7a or 7b) (use exact, full name; do not omit, modify, or abbreviate any part of the
Debtor's name)
7a. ORGANIZATION'S NAME
NAMSON NGUYEN PHAM #295710
7b. INDIVIDUAL'S SURNAME
OR
INDIVIDUAL'S FIRST PERSONAL NAME
9. NAME OF SECURED PARTY OF RECORD AUTHORIZING THIS AMENDMENT: Provide only one name (9a or 9b) (name of Assignor, if this is an Assignment)
If this is an Amendment authorized by a DEBTOR, check here and provide name of authorizing Debtor
a. ORGANIZATION'S NAME
OR
b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX
Selassie Frasberg
10. OPTIONAL FILER REFERENCE DATA:
Signed By Secured Party Frasberg Selassie, UCC 1-308 Without Prejudice.
OR
21b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX
PHAM NAMSON NGUYEN
21c. MAILING ADDRESS CITY STATE POSTAL CODE COUNTRY
85 ENTERPRISE, SUITE 310 ALISO VIEJO CA 92656-2504 USA
22. ADDITIONAL DEBTOR'S NAME - : Provide only one Debtor name (22a or 22b)(use exact, full name; do not omit, modify, or abbreviate any part of the Debtor's name)
22a. ORGANIZATION'S NAME
OR
22b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX
PHAM NAMSON N.
22c. MAILING ADDRESS CITY STATE POSTAL CODE COUNTRY
310 ENTERPRISE, SUITE 310 ALISO VIEJO CA 92656-2504 USA
23. ADDITIONAL DEBTOR'S NAME - : Provide only one Debtor name (23a or 23b)(use exact, full name; do not omit, modify, or abbreviate any part of the Debtor's name)
23a. ORGANIZATION'S NAME
NAMSON NGUYEN PHAM
OR
23b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX
OR
24b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX
25. ADDITIONAL SECURED PARTY'S NAME or ASSIGNOR SECURED PARTY'S NAME: Provide only one name (25a or 25b)
25a. ORGANIZATION'S NAME
OR
25b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX
26. MISCELLANEOUS:
20. NAME OF PARTY AUTHORIZING THIS AMENDMENT: Same as item 9 on Amendment form
20a. ORGANIZATION'S NAME
22. ADDITIONAL DEBTOR'S NAME - : Provide only one Debtor name (22a or 22b)(use exact, full name; do not omit, modify, or abbreviate any part of the Debtor's name)
22a. ORGANIZATION'S NAME
PHAM, NAMSON NGUYEN
OR
22b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX
23. ADDITIONAL DEBTOR'S NAME - : Provide only one Debtor name (23a or 23b)(use exact, full name; do not omit, modify, or abbreviate any part of the Debtor's name)
23a. ORGANIZATION'S NAME
PHAM, NAMSON N.
OR
23b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX
24. ADDITIONAL SECURED PARTY'S NAME or ASSIGNOR SECURED PARTY'S NAME: Provide only one name (24a or 24b)
24a. ORGANIZATION'S NAME
OR
24b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX
25. ADDITIONAL SECURED PARTY'S NAME or ASSIGNOR SECURED PARTY'S NAME: Provide only one name (25a or 25b)
25a. ORGANIZATION'S NAME
OR
25b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX
26. MISCELLANEOUS:
20. NAME OF PARTY AUTHORIZING THIS AMENDMENT: Same as item 9 on Amendment form
20a. ORGANIZATION'S NAME
22. ADDITIONAL DEBTOR'S NAME - : Provide only one Debtor name (22a or 22b)(use exact, full name; do not omit, modify, or abbreviate any part of the Debtor's name)
22a. ORGANIZATION'S NAME
OR
22b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX
23. ADDITIONAL DEBTOR'S NAME - : Provide only one Debtor name (23a or 23b)(use exact, full name; do not omit, modify, or abbreviate any part of the Debtor's name)
23a. ORGANIZATION'S NAME
OR
23b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX
24. ADDITIONAL SECURED PARTY'S NAME or ASSIGNOR SECURED PARTY'S NAME: Provide only one name (24a or 24b)
24a. ORGANIZATION'S NAME
OR
24b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX
25. ADDITIONAL SECURED PARTY'S NAME or ASSIGNOR SECURED PARTY'S NAME: Provide only one name (25a or 25b)
25a. ORGANIZATION'S NAME
OR
25b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX
26. MISCELLANEOUS:
1a. INITIAL FINANCING STATEMENT FILE NUMBER 1b. This FINANCING STATEMENT AMENDMENT is to be filed [for record] (or
recorded) in the REAL ESTATE RECORDS. Filer: Attach Amendment Addendum
19-7698135170 (Form UCC3Ad) and provide Debtor's name in item 13
2. TERMINATION: Effectiveness of the Financing Statement identified above is terminated with respect to the security interest(s) of Secured Party authorizing this Termination Statement
3. ASSIGNMENT (full or partial): Provide name of Assignee in item 7a or 7b, and address of Assignee in item 7c and name of Assignor in item 9
For partial assignment, complete items 7 and 9 and also indicate affected collateral in item 8
4. CONTINUATION: Effectiveness of the Financing Statement identified above with respect to the security interest(s) of Secured Party authorizing this Continuation Statement is continued for the
additional period provided by applicable law
6. CURRENT RECORD INFORMATION: Complete for Party Information Change - provide only one name (6a or 6b)
6a. ORGANIZATION'S NAME
OR
6b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX
7. CHANGED OR ADDED INFORMATION: Complete for Assignment or Party Information Change - provide only one name (7a or 7b) (use exact, full name; do not omit, modify, or abbreviate any part of the
Debtor's name)
7a. ORGANIZATION'S NAME
JOHN CHRISTOPHER STEELE #179875
7b. INDIVIDUAL'S SURNAME
OR
INDIVIDUAL'S FIRST PERSONAL NAME
9. NAME OF SECURED PARTY OF RECORD AUTHORIZING THIS AMENDMENT: Provide only one name (9a or 9b) (name of Assignor, if this is an Assignment)
If this is an Amendment authorized by a DEBTOR, check here and provide name of authorizing Debtor
a. ORGANIZATION'S NAME
OR
b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX
Selassie Frasberg
10. OPTIONAL FILER REFERENCE DATA:
Signed By Secured Party Frasberg Selassie, UCC 1-308 Without Prejudice.
1a. INITIAL FINANCING STATEMENT FILE NUMBER 1b. This FINANCING STATEMENT AMENDMENT is to be filed [for record] (or
recorded) in the REAL ESTATE RECORDS. Filer: Attach Amendment Addendum
19-7698135170 (Form UCC3Ad) and provide Debtor's name in item 13
2. TERMINATION: Effectiveness of the Financing Statement identified above is terminated with respect to the security interest(s) of Secured Party authorizing this Termination Statement
3. ASSIGNMENT (full or partial): Provide name of Assignee in item 7a or 7b, and address of Assignee in item 7c and name of Assignor in item 9
For partial assignment, complete items 7 and 9 and also indicate affected collateral in item 8
4. CONTINUATION: Effectiveness of the Financing Statement identified above with respect to the security interest(s) of Secured Party authorizing this Continuation Statement is continued for the
additional period provided by applicable law
6. CURRENT RECORD INFORMATION: Complete for Party Information Change - provide only one name (6a or 6b)
6a. ORGANIZATION'S NAME
OR
6b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX
7. CHANGED OR ADDED INFORMATION: Complete for Assignment or Party Information Change - provide only one name (7a or 7b) (use exact, full name; do not omit, modify, or abbreviate any part of the
Debtor's name)
7a. ORGANIZATION'S NAME
JAYNE ANN PEETERS #108052
7b. INDIVIDUAL'S SURNAME
OR
INDIVIDUAL'S FIRST PERSONAL NAME
9. NAME OF SECURED PARTY OF RECORD AUTHORIZING THIS AMENDMENT: Provide only one name (9a or 9b) (name of Assignor, if this is an Assignment)
If this is an Amendment authorized by a DEBTOR, check here and provide name of authorizing Debtor
a. ORGANIZATION'S NAME
OR
b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX
Selassie Frasberg
10. OPTIONAL FILER REFERENCE DATA:
Signed By Secured Party Frasberg Selassie, UCC 1-308 Without Prejudice.
20. NAME OF PARTY AUTHORIZING THIS AMENDMENT: Same as item 9 on Amendment form
20a. ORGANIZATION'S NAME
22. ADDITIONAL DEBTOR'S NAME - : Provide only one Debtor name (22a or 22b)(use exact, full name; do not omit, modify, or abbreviate any part of the Debtor's name)
22a. ORGANIZATION'S NAME
OR
22b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX
PEETERS JAYNE ANN
23. ADDITIONAL DEBTOR'S NAME - : Provide only one Debtor name (23a or 23b)(use exact, full name; do not omit, modify, or abbreviate any part of the Debtor's name)
23a. ORGANIZATION'S NAME
JAYNE ANN PEETERS
OR
23b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX
24. ADDITIONAL SECURED PARTY'S NAME or ASSIGNOR SECURED PARTY'S NAME: Provide only one name (24a or 24b)
24a. ORGANIZATION'S NAME
OR
24b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX
25. ADDITIONAL SECURED PARTY'S NAME or ASSIGNOR SECURED PARTY'S NAME: Provide only one name (25a or 25b)
25a. ORGANIZATION'S NAME
OR
25b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX
26. MISCELLANEOUS:
20. NAME OF PARTY AUTHORIZING THIS AMENDMENT: Same as item 9 on Amendment form
20a. ORGANIZATION'S NAME
22. ADDITIONAL DEBTOR'S NAME - : Provide only one Debtor name (22a or 22b)(use exact, full name; do not omit, modify, or abbreviate any part of the Debtor's name)
22a. ORGANIZATION'S NAME
OR
22b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX
23. ADDITIONAL DEBTOR'S NAME - : Provide only one Debtor name (23a or 23b)(use exact, full name; do not omit, modify, or abbreviate any part of the Debtor's name)
23a. ORGANIZATION'S NAME
OR
23b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX
24. ADDITIONAL SECURED PARTY'S NAME or ASSIGNOR SECURED PARTY'S NAME: Provide only one name (24a or 24b)
24a. ORGANIZATION'S NAME
OR
24b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX
25. ADDITIONAL SECURED PARTY'S NAME or ASSIGNOR SECURED PARTY'S NAME: Provide only one name (25a or 25b)
25a. ORGANIZATION'S NAME
OR
25b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX
26. MISCELLANEOUS:
1a. INITIAL FINANCING STATEMENT FILE NUMBER 1b. This FINANCING STATEMENT AMENDMENT is to be filed [for record] (or
recorded) in the REAL ESTATE RECORDS. Filer: Attach Amendment Addendum
19-7698135170 (Form UCC3Ad) and provide Debtor's name in item 13
2. TERMINATION: Effectiveness of the Financing Statement identified above is terminated with respect to the security interest(s) of Secured Party authorizing this Termination Statement
3. ASSIGNMENT (full or partial): Provide name of Assignee in item 7a or 7b, and address of Assignee in item 7c and name of Assignor in item 9
For partial assignment, complete items 7 and 9 and also indicate affected collateral in item 8
4. CONTINUATION: Effectiveness of the Financing Statement identified above with respect to the security interest(s) of Secured Party authorizing this Continuation Statement is continued for the
additional period provided by applicable law
6. CURRENT RECORD INFORMATION: Complete for Party Information Change - provide only one name (6a or 6b)
6a. ORGANIZATION'S NAME
OR
6b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX
7. CHANGED OR ADDED INFORMATION: Complete for Assignment or Party Information Change - provide only one name (7a or 7b) (use exact, full name; do not omit, modify, or abbreviate any part of the
Debtor's name)
7a. ORGANIZATION'S NAME
BANK OF AMERICA, N.A.
7b. INDIVIDUAL'S SURNAME
OR
INDIVIDUAL'S FIRST PERSONAL NAME
9. NAME OF SECURED PARTY OF RECORD AUTHORIZING THIS AMENDMENT: Provide only one name (9a or 9b) (name of Assignor, if this is an Assignment)
If this is an Amendment authorized by a DEBTOR, check here and provide name of authorizing Debtor
a. ORGANIZATION'S NAME
OR
b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX
Selassie Frasberg
10. OPTIONAL FILER REFERENCE DATA:
Signed By Secured Party Frasberg Selassie, UCC 1-308 Without Prejudice.
20. NAME OF PARTY AUTHORIZING THIS AMENDMENT: Same as item 9 on Amendment form
20a. ORGANIZATION'S NAME
22. ADDITIONAL DEBTOR'S NAME - : Provide only one Debtor name (22a or 22b)(use exact, full name; do not omit, modify, or abbreviate any part of the Debtor's name)
22a. ORGANIZATION'S NAME
BANK OF AMERICA CORPORATION
OR
22b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX
23. ADDITIONAL DEBTOR'S NAME - : Provide only one Debtor name (23a or 23b)(use exact, full name; do not omit, modify, or abbreviate any part of the Debtor's name)
23a. ORGANIZATION'S NAME
OR
23b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX
24. ADDITIONAL SECURED PARTY'S NAME or ASSIGNOR SECURED PARTY'S NAME: Provide only one name (24a or 24b)
24a. ORGANIZATION'S NAME
OR
24b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX
25. ADDITIONAL SECURED PARTY'S NAME or ASSIGNOR SECURED PARTY'S NAME: Provide only one name (25a or 25b)
25a. ORGANIZATION'S NAME
OR
25b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX
26. MISCELLANEOUS:
20. NAME OF PARTY AUTHORIZING THIS AMENDMENT: Same as item 9 on Amendment form
20a. ORGANIZATION'S NAME
OR
27b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX
16. Name and address of RECORD OWNER of real estate described in item 17 (if Debtor does not
have a record interest):
18. MISCELLANEOUS:
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GSCCCA eFile#: EF_002799367_000611256_043 Received:Wednesday, February 20, 2019 10:17:35 AM Page 1 of 1
FILED & RECORDED
Wednesday, February 20, 2019 11:07:55 AM
File Number: 043-2019-000163
Cecilia Willis
Decatur County Clerk of Superior Court
GSCCCA eFile#: EF_002799367_000611258_043 Received:Wednesday, February 20, 2019 10:17:36 AM Page 1 of 3 043-2019-000163
GSCCCA eFile#: EF_002799367_000611258_043 Received:Wednesday, February 20, 2019 10:17:36 AM Page 2 of 3 043-2019-000163
GSCCCA eFile#: EF_002799367_000611258_043 Received:Wednesday, February 20, 2019 10:17:36 AM Page 3 of 3 043-2019-000163
GSCCCA eFile#: EF_002799387_000611270_001 Received:Wednesday, February 20, 2019 10:18:10 AM Page 1 of 1
FILED & RECORDED
Wednesday, February 20, 2019 4:46:26 PM
File Number: 001-2019-001031
Marsha Thomas
Appling County Clerk of Superior Court
GSCCCA eFile#: EF_002799387_000611272_001 Received:Wednesday, February 20, 2019 10:18:10 AM Page 1 of 3 001-2019-001031
GSCCCA eFile#: EF_002799387_000611272_001 Received:Wednesday, February 20, 2019 10:18:10 AM Page 2 of 3 001-2019-001031
GSCCCA eFile#: EF_002799387_000611272_001 Received:Wednesday, February 20, 2019 10:18:10 AM Page 3 of 3 001-2019-001031
GSCCCA eFile#: EF_002799380_000611265_045 Received:Wednesday, February 20, 2019 10:17:55 AM Page 1 of 1
FILED & RECORDED
Wednesday, February 20, 2019 10:17:00 AM
File Number: 045-2019-000084
Rhett Walker
Dodge County Clerk of Superior Court
GSCCCA eFile#: EF_002799380_000611266_045 Received:Wednesday, February 20, 2019 10:17:56 AM Page 1 of 3 045-2019-000084
GSCCCA eFile#: EF_002799380_000611266_045 Received:Wednesday, February 20, 2019 10:17:56 AM Page 2 of 3 045-2019-000084
GSCCCA eFile#: EF_002799380_000611266_045 Received:Wednesday, February 20, 2019 10:17:56 AM Page 3 of 3 045-2019-000084
GSCCCA eFile#: EF_002799374_000611260_006 Received:Wednesday, February 20, 2019 10:17:45 AM Page 1 of 1
FILED & RECORDED
Wednesday, February 20, 2019 10:45:00 AM
File Number: 006-2019-000052
Tim Harper
Banks County Clerk of Superior Court
GSCCCA eFile#: EF_002799374_000611261_006 Received:Wednesday, February 20, 2019 10:17:45 AM Page 1 of 3 006-2019-000052
GSCCCA eFile#: EF_002799374_000611261_006 Received:Wednesday, February 20, 2019 10:17:45 AM Page 2 of 3 006-2019-000052
GSCCCA eFile#: EF_002799374_000611261_006 Received:Wednesday, February 20, 2019 10:17:45 AM Page 3 of 3 006-2019-000052
GSCCCA eFile#: EF_002799551_000611328_010 Received:Wednesday, February 20, 2019 10:19:21 AM Page 1 of 1
FILED & RECORDED
Wednesday, February 20, 2019 10:20:50 AM
File Number: 010-2019-000150
Shawna C. Hughes
Berrien County Clerk of Superior Court
GSCCCA eFile#: EF_002799551_000611330_010 Received:Wednesday, February 20, 2019 10:19:21 AM Page 1 of 3 010-2019-000150
GSCCCA eFile#: EF_002799551_000611330_010 Received:Wednesday, February 20, 2019 10:19:21 AM Page 2 of 3 010-2019-000150
GSCCCA eFile#: EF_002799551_000611330_010 Received:Wednesday, February 20, 2019 10:19:21 AM Page 3 of 3 010-2019-000150
AMENDMENT
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STATE OF NEVADA
BARBARA K. CEGAVSKE Commercial Recording Division
Secretary of State 202 N. Carson Street
Carson City, NV 89701-4069
KIMBERLEY PERONDI Telephone (775) 684-5708
Deputy Secretary Fax (775) 684-7138
for Commercial Recordings
OFFICE OF THE
SECRETARY OF STATE
NOTICE OF EXEMPTION
NEVADA STATE BUSINESS LICENSE
Partnership
You have filed a notice citing a statutory exemption "003" pursuant to Nevada Revised Statutes
and therefore are not required to maintain a Nevada State Business License.
If your exemption changes or your business is no longer exempt, you must file an amendment
reflecting your current business status.
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STATE OF NEVADA
BARBARA K. CEGAVSKE Commercial Recording Division
Secretary of State 202 N. Carson Street
Carson City, NV 89701-4069
KIMBERLEY PERONDI Telephone (775) 684-5708
Deputy Secretary Fax (775) 684-7138
for Commercial Recordings
OFFICE OF THE
SECRETARY OF STATE
NOTICE OF EXEMPTION
NEVADA STATE BUSINESS LICENSE
Partnership
You have filed a notice citing a statutory exemption "003" pursuant to Nevada Revised Statutes
and therefore are not required to maintain a Nevada State Business License.
If your exemption changes or your business is no longer exempt, you must file an amendment
reflecting your current business status.
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STATE OF NEVADA
BARBARA K. CEGAVSKE Commercial Recording Division
Secretary of State 202 N. Carson Street
Carson City, NV 89701-4069
KIMBERLEY PERONDI Telephone (775) 684-5708
Deputy Secretary Fax (775) 684-7138
for Commercial Recordings
OFFICE OF THE
SECRETARY OF STATE
NOTICE OF EXEMPTION
NEVADA STATE BUSINESS LICENSE
Partnership
You have filed a notice citing a statutory exemption "003" pursuant to Nevada Revised Statutes
and therefore are not required to maintain a Nevada State Business License.
If your exemption changes or your business is no longer exempt, you must file an amendment
reflecting your current business status.
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UCC Financing Statement
Colorado Secretary of State
Date and Time: 11/28/2018 04:22:47 AM
Master ID: 20182104328
Validation Number: 20182104328
Amount: $8.00
Debtor: (Organization)
Name: SPECIALIZED LOAN SERVICING LLC - DEBTOR
Address1: 8742 LUCENT BOULEVARD
Address2: SUITE 300
City: HIGHLANDS RANCH State: CO ZIP/Postal Code: 80129
Province: Country: United States
Collateral is held in a Trust.
Collateral
Description:
SPECIALIZED LOAN SERVICING LLC - DEBTOR. ALL DEBTOR ACCOUNT NUMBER# 1006247774;
INSTRUMENT# 201811150002625; DEEDS; PARCEL NUMBER# 138-28-112-039; PROPERTY
LOCATION: 8221 HYDRA LANE, LAS VEGAS, NV 89128. LEGAL DESCRIPTION: CIMARRON RIDGE UNIT
4 PLAT BOOK 51 PAGE 75 LOT 178 BLOCK 6. SETTLEMENT AND CLOSED ACCOUNT NUMBER#
1006247774. SETTLEMENT AND CLOSED DEBT AMOUNT$: 83,466.79. DEBTOR IS A TRANSMITTING
UTILITY. THIS FINANCING STATEMENT FILED AS A FIXTURE FILING. THIS FINANCING STATEMENT
FILED AS A AGRICULTURAL LIEN. ALL ASSET OF THE DEBTOR, INCLUDING, BUT NOT LIMITED TO,
ANY AND ALL EQUIPMENT, FIXTURES, PROCEEDS, CONTRACTS, ASSETS, PERMITS, PROMISSORY
NOTES, LICENSES, DEEDS, ACCOUNT NUMBER# 1006247774, INSTRUMENT# 201811150002625,
CHATTEL PAPERS, BANK ACCOUNTS, DUNS#; EIN#, BONDS,, INCOME FROM EVERY SOURCE,
ACCOUNTS, PARCEL NUMBER# 138-28-112-039, LETTER OF CREDIT, INVENTORY. . . NOW OWNED
OR HEREAFTER ACQUIRED BY THE DEBTOR.............................................
Name of a record owner of above-described real estate (if debtor does not have a record interest):
Organization Name: NRMG Nevada Partners LLC
Individual Name:
Address1: 8221 Hydra Lane
Address2:
City: Las Vegas State: NV ZIP/Postal Code: 89128
Province: Country: United States
Collateral
Description: Page 1 of 2
ADJUSTMENT WITH THIS FILING IS IN ACCORD UCC SECTION 1-103 AND 101; HOUSE JOINT
RESOLUTION 192 OF JUNE 5, 1933; PUBLIC LAW: CHAPTER 48,48 STAT. 112; (SEE ATTACHMENT
ADDENDUM) SECURED PARTY ACCEPTS DEBTOR SIGNATURE IN ACCORD WITH UCC SECTION 1-
201(39), 2-401. NON-NEGOTIABLE-PRIVATE BETWEEN THE PARTIES, EXEMPT FROM LEVY. WITHOUT
PREJUDICE UCC 1-207 AND 1-308. THIS FINANCING STATEMENT FILED AS A FIXTURE FILING.
DEBTOR IS A TRANSMITTING UTILITY.
Name of a record owner of above-described real estate (if debtor does not have a record interest):
Organization Name: NRMG Nevada Partners LLC
Individual Name:
Address1: 8221 Hydra Lane
Address2:
City: Las Vegas State: NV ZIP/Postal Code: 89128
Province: Country: United States
Collateral
Description:
THE SECURED PARTY CREDITOR HOLDS THE SUPERIOR CLAIM, SECURITY INTEREST AND LIEN ON
ALL OF THE PROPERTY OF THE DEBTOR; HOLDS THE DROIT-DROIT (DOUBLE RIGHT) TO ALL OF
THE PROPERTY, RIGHTS TITLES, AND INTERESTS ABOVE ALL OTHERS, INCLUDING THE ''STATE'';
AND ALL OF THE PROPERTY THEREOF. FURTHERMORE, THE SECURED PARTY CREDITOR IS
EXEMPT FROM LEVY (FINES, FEES, TAXES, ETC.) IN ALL FORUMS PURSUANT TO HJR-192, PUBLIC
LAW 95-147, 91 STAT. 1227, UCC-1-104 & 10-104, VIA 31 U.S.C. 5118; 22 U.S.C 2281, U.S.
CONSTITUTION. ART. 1V, CI. 1-(1791). PUBLIC NOTICE OF UNIDROIT APPLICABILITY ''WITHOUT
PREJUDICE.'' THIS FINANCING STATEMENT FILED AS A FIXTURE FILING. DEBTOR IS A
TRANSMITTING UTILITY.
Optional Information
Alternative designation:
In this financing statement, the terms "debtor" and "secured party" shall be read to mean: Bailee/Bailor
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UCC FINANCING STATEMENT AMENDMENT
FOLLOW INSTRUCTIONS
A. NAME & PHONE OF CONTACT AT FILER (optional)
Frasberg Selassie
(202) 486-7720
B. E-MAIL CONTACT AT FILER (optional)
1a. INITIAL FINANCING STATEMENT FILE NUMBER 1b. This FINANCING STATEMENT AMENDMENT is to be filed [for record] (or
recorded) in the REAL ESTATE RECORDS. Filer: Attach Amendment Addendum
19-7698135675 (Form UCC3Ad) and provide Debtor's name in item 13
2. TERMINATION: Effectiveness of the Financing Statement identified above is terminated with respect to the security interest(s) of Secured Party authorizing this Termination Statement
3. ASSIGNMENT (full or partial): Provide name of Assignee in item 7a or 7b, and address of Assignee in item 7c and name of Assignor in item 9
For partial assignment, complete items 7 and 9 and also indicate affected collateral in item 8
4. CONTINUATION: Effectiveness of the Financing Statement identified above with respect to the security interest(s) of Secured Party authorizing this Continuation Statement is continued for the
additional period provided by applicable law
6. CURRENT RECORD INFORMATION: Complete for Party Information Change - provide only one name (6a or 6b)
6a. ORGANIZATION'S NAME
OR
6b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX
7. CHANGED OR ADDED INFORMATION: Complete for Assignment or Party Information Change - provide only one name (7a or 7b) (use exact, full name; do not omit, modify, or abbreviate any part of the
Debtor's name)
7a. ORGANIZATION'S NAME
JACQUELINE BROWN
7b. INDIVIDUAL'S SURNAME
OR
INDIVIDUAL'S FIRST PERSONAL NAME
9. NAME OF SECURED PARTY OF RECORD AUTHORIZING THIS AMENDMENT: Provide only one name (9a or 9b) (name of Assignor, if this is an Assignment)
If this is an Amendment authorized by a DEBTOR, check here and provide name of authorizing Debtor
a. ORGANIZATION'S NAME
Ethiopian World Federation Church
OR
b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX
OR
21b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX
BROWN JACQUELINE
21c. MAILING ADDRESS CITY STATE POSTAL CODE COUNTRY
8221 HYDRA LN LAS VEGAS NV 89128-1633 USA
22. ADDITIONAL DEBTOR'S NAME - : Provide only one Debtor name (22a or 22b)(use exact, full name; do not omit, modify, or abbreviate any part of the Debtor's name)
22a. ORGANIZATION'S NAME
JACQUELINE YVONNE BROWN
OR
22b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX
OR
24b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX
25. ADDITIONAL SECURED PARTY'S NAME or ASSIGNOR SECURED PARTY'S NAME: Provide only one name (25a or 25b)
25a. ORGANIZATION'S NAME
OR
25b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX
26. MISCELLANEOUS:
OR
21b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX
BROWN JACQUELINE Y
21c. MAILING ADDRESS CITY STATE POSTAL CODE COUNTRY
8221 HYDRA LANE LAS VEGAS NV 89128-1633 USA
22. ADDITIONAL DEBTOR'S NAME - : Provide only one Debtor name (22a or 22b)(use exact, full name; do not omit, modify, or abbreviate any part of the Debtor's name)
22a. ORGANIZATION'S NAME
JACQUELINE Y BROWN
OR
22b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX
OR
24b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX
25. ADDITIONAL SECURED PARTY'S NAME or ASSIGNOR SECURED PARTY'S NAME: Provide only one name (25a or 25b)
25a. ORGANIZATION'S NAME
OR
25b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX
26. MISCELLANEOUS:
OR
24b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX
25. ADDITIONAL SECURED PARTY'S NAME or ASSIGNOR SECURED PARTY'S NAME: Provide only one name (25a or 25b)
25a. ORGANIZATION'S NAME
OR
25b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX
26. MISCELLANEOUS:
20. NAME OF PARTY AUTHORIZING THIS AMENDMENT: Same as item 9 on Amendment form
20a. ORGANIZATION'S NAME
OR
27b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX
Selassie, Frasberg
16. Name and address of RECORD OWNER of real estate described in item 17 (if Debtor does not
have a record interest):
18. MISCELLANEOUS: