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UCC FINANCING STATEMENT
FOLLOW INSTRUCTIONS (front and back) CAREFULLY
A, NAME & PHONE OF CONTACT AT FILER [optional)
Cori Meadows 605.390.9776
B. SEND AI,;KNuwLEul;iMENT TO: (Name and Addressy PREPARED BY
I SECURITY FIRST BANK
305 5th STREET
RAPID CITY, SO 57701
-
RECEIVED 9/30/2008 at 2:28 PM
RECEIVING # 942572
BOOK: 705 PAGE: 877
JEANNE WAGNER
LINCOLN COUNTY CLERK, KEMMERER, WY
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L
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THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY
1. DEBTO R'S EXACT FULL LEGAL NAME - insert only QJ1JL debtor name (1 a or 1 bl ' do not abbreviate or combine names
1 a. ORGANIZATION'S NAME ,
OR BST HOSPITALITY, LLC
lb, INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE NAME SUFFIX
1 c. MAILING ADDRESS CITY STATE rOSTAL CODE COUNTRY
2018 BASIN DRIVE KEMMERER WY 83101 USA
ld. TAX ID N: SSN OR EIN I ADD'L INFO RE 11e. TYPE OF ORGANIZATION 1/, JURISDICTION OF ORGANIZATION 19, ORGANIZATIONAL ID N, if any
ORGANIZATION I Limited Liability I Wvominl! I o NONE
DEBTOR ,,"'
2. ADDITIONAL DEBTOR'S EXACT FULL LEGAL NAME - insert only QJ1JL debtor name (2a or 2b) - do not abbreviate or combine names
2a. ORGANIZATION'S NAME
OR
2b, INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE NAME SUFFIX
2c, MAILING ADDRESS CITY STATE rOSTAL CODE COUNTRY
2d, TAX ID N: SSN OR EIN I ADD'L INFO RE r 12e, TYPE OF ORGANIZATION 2f. JURISDICTION OF ORGANIZATION 2g, ORGANIZATIONAL ID N, if eny
ORGANIZATION I I I
DEBTOR o NONE
3, SECURED PARTY'S NAME lor NAME of TOTAL ASSIGNEE of ASSIGNOR SIP} ,Insert only ~secu'ed party name f3a or 3bl
3a. ORGANIZATION'S NAME
OR Security First Bank
3b, INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE NAME SUFFIX
3c, MAILING ADDRESS CITY STATE rOSTAL CODE COUNTRY
805 5th St Rapid City SD 57701 USA
4. This FINANCING STATEMENT covera the following collateral: All of the following which Debtor owns now or in the future, together with all parts,
accessories, repairs, replacements, improvements, and accessions, and wherever located: INVENTORY: All inventory held for
ultimate sale or lease, or which has been or will be supplied under contracts of service, or which are raw materials, work in
process, or materials used or consumed in Debtor's business. EQUIPMENT: All equipment including, but not limited to,
machinery, vehicles, furniture, fixtures, manufacturing equipment, farm machinery and equipment, shop equipment, office and
record keeping equipment, parts, and tools, The property includes any equipment described in a list or schedule Debtor gives to
Secured Party, but such a list is not necessary to create or perfect a valid security interest in all of Debtor's equipment.
FIXTURES: All goods now or in the future affixed or attached to real estate. All debtor's equipment, whether now owned or
hereafter acquired, including any and all accessories, attachments, parts and replacements thereto, and proceeds thereof; where ever
located, All debtor's inventory of every kind, type or description, whether now owned or hereafter acquired, including returned or
repossessed goods, and any chattel paper or accounts arising from the sale or lease of inventory, and... (Continued on attachment)
5. ALTERNATIVE DESIGNATION (if applicablel: 0 LESSEE/LESSOR 0 CONSIGNEE/CONSIGNOR 0 BAILEE/BAILOR 0 SELLER/BUYER 0 AG. LIEN 0 NON,UCC FILING
This FINANCING STATEMENT is to be filed (for record I lor recorded) in the REAL . Cheçk to REOUEST SEARCH REPORT¡SI on D~btorlsl 0 0 0
ESTATE RECORDS. Attach Addendum [if a licable [ADDITIONAL FEE! 0 tionall All Debtors Debtor 1 Debtor 2
. OPTIONAL FILER REFERENCE DATA
Bankers Systems, Inc.. St, Cloud, MN Form UCC-1,LAZ 5/30/2001
FILING OFFICE COPY - NATIONAL UCC FINANCING STATEMENT (FORM UCC11 (REV. 07/29/981
UCC FINANCING STATEMENT ADDENDUM
FOLLOW INSTRUCTIONS (front and back) CAREFULLY
9. NAME OF FIRST DEBTOR (18 or lb) ON RELATED FINANCING STATEMENT
9a, ORGANIZATION'S NAME
OR
BST HOSPITALITY, LLC
9b. INDIVIDUAL'S LAST NAME
FIRST NAME
10. MISCELLANEOUS:
MIDDLE NAME,SUFFIX
ûOû87B
THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY
11. ADDITIONAL EXACT FULL LEGAL NAME - insert only .QD.§. name (11 a or 11 b , do not abbreviate or combine names
11a. ORGANIZATION'S NAME
OR
11 b. INDIVIDUAL'S LAST NAME
11 c. MAILING ADDRESS
11 d. TAX 10 #: SSN DR EIN
lle. TYPE OF ORGANIZATION
12. ADDITIONAL SECURED PARTY'S
12a. ORGANIZATION'S NAME
FIRST NAME
MIDDLE NAME
SUFFIX
CITY
STATE POSTAL CODE
COUNTRY
111, JURISDICTION OF ORGANIZATION
l1g. ORGANIZATIONAL 10 #, il any
ASSIGNOR SIP'S NAME, insert only.QD.§. name (12a or 12b)
o NONE
as-extracted 16. Additional collateral description:
proceeds thereof; where ever located All debtor's fixtures of every
kind, type or description, whether now owned or hereafter acquired,
including returned or repossessed goods, and any chattel paper or
accounts arising from the sale or lease of inventory, and proceeds
thereof; where ever located
OR
12b. INDIVIDUAL'S LAST NAME
12c. MAILING ADDRESS
13.
This FINANCING STATEMENT covers D timber to be cut or D
collateral, or is filed as a !XI fixture filing.
Description of real estate:
14.
The goods are or are to become fixtures on: These goods
are affixed (or will be affixed) to real property more
specifically described as Lot 1 of BST Hospitality
Addition to the City of Kemmerer, Lincoln County,
Wyoming as described on the official plat thereof,.
15. Name and address 01 a RECORD OWNER 01 above,described real estate
(il Debtor does not have a record interestl:
FIRST NAME
MIDDLE NAME
SUFFIX
CITY
ST ATE PO ST AL CODE
COUNTRY
17. Check 2!!!J!. il applicable and chack 2!!!J!. one box.
Debtor is 8 0 Trust or 0 Trustee acting with respect to property held in trust or 0 Decedent's Estate
1 B. Check 2!!!J!.11 applicable and check 2!!!J!. one box,
o Debtor is a TRANSMITTING UTILITY
o Filed in connection with a Manufactured-Home Transaction -- effective 30 years
o Filed In connection with a PublicMFinance Transaction -~ effective 30 years
FILING OFFICE COPY -. NATIONAL UCC FINANCING STATEMENT ADDENDUM (FORM UCC1Ad) (REV. 07129/981
Banko,. Systoms, Inc" St. Cloud, MN Form UCC·1ADD,LAZ 5/30/2001