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HomeMy WebLinkAbout942572 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 úOûS77 L .-J 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