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 SUFFIX ADDITIONAL NAME(S)/INITIAL(S) THAT ARE PART OF THE NAME OF THIS DEBTOR 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) 2a. ORGANIZATION’S NAME OR 2b. INDIVIDUAL’S SURNAME FIRST PERSONAL NAME SUFFIX ADDITIONAL NAME(S)/INITIAL(S) THAT ARE PART OF THE NAME OF THIS DEBTOR 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 SUFFIX ADDITIONAL NAME(S)/INITIAL(S) 3c. MAILING ADDRESS CITY STATE POSTAL CODE COUNTRY 4. COLLATERAL: This financing statement covers the following collateral: ] Public-Finance Transaction [ ] A Debtor is a Transmitting Utility ] held in a Trust (see UCC1Ad, Item 17 and Instructions) ] being administered by a Decedent’s Personal Representative 5. Check only if applicable and check only one box: Collateral is [ [ 6a. Check only if applicable and check only one box: [ [ 6b. Check only if applicable and check only one box: [ 7. ALTERNATIVE DESIGNATION (if applicable): ] Consignee/Consignor [ [ ] Licensee/Licensor ] Lessee/Lessor ] Bailee/Bailor ] Agricultural Lien [ ] Non-UCC Filing ] Seller/Buyer [ [ [ ] Manufactured-Home Transaction 8. OPTIONAL FILER REFERENCE DATA: UCC FINANCING STATEMENT (Form UCC1) UCC FINANCING STATEMENT ADDENDUM FOLLOW INSTRUCTIONS 9. NAME OF FIRST DEBTOR: Same as item 1a or 1b on Financing Statement; if line 1b was left blank because Individual Debtor name did not fit, check here [ 9a. ORGANIZATION’S NAME ] OR 9b. INDIVIDUAL’S SURNAME FIRST PERSONAL NAME SUFFIX ADDITIONAL NAME(S)/INITIAL(S) THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY 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 10a. ORGANIZATION’S NAME OR 10b. INDIVIDUAL’S SURNAME FIRST PERSONAL NAME SUFFIX ADDITIONAL NAME(S)/INITIAL(S) THAT ARE PART OF THE NAME OF THIS DEBTOR 10c. MAILING ADDRESS CITY STATE POSTAL CODE COUNTRY ] ADDITIONAL SECURED PARTY’S NAME or [ 11. [ CURED PARTY’S NAME: Provide only one name (11a or 11b) 11a. ORGANIZATION’S NAME ] ASSIGNOR SE- OR 11b. INDIVIDUAL’S SURNAME FIRST PERSONAL NAME SUFFIX ADDITIONAL NAME(S)/INITIAL(S) 11c. MAILING ADDRESS CITY STATE POSTAL CODE COUNTRY 12. ADDITIONAL SPACE FOR ITEM 4 (Collateral) ] This FINANCING STATEMENT is to be filed for record in the REAL 13. [ ESTATE RECORDS (if applicable) 14. This FINANCING STATEMENT: [ [ ] covers as-extracted collateral 15. Name and address of a RECORD OWNER of real estate described in item 16 (if Debtor does not have a record interest): ] is filed as a fixture filing ] covers timber to be cut [ 16. Description of real estate: 17. MISCELLANEOUS: UCC FINANCING STATEMENT ADDENDUM (Form UCC1Ad)