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1a. ORGANIZATION'S NAME Summit Tire, LLC
1b. INDIVIDUAL'S SURNAME
FIRST PERSONAL NAME
ADDITIONAL NAME(S) /INITIAL(S)
SUFFIX
lc. MAILING ADDRESS 295 North Washington Street
CITY
Afton
STATE
WY
POSTAL CODE
83110
COUNTRY
USA
OR
2a. ORGANIZATION'S NAME
2b. INDIVIDUAL'S SURNAME
FIRST PERSONAL NAME
ADDITIONAL NAME(S) /INITIAL(S)
SUFFIX
2c. MAILING ADDRESS
CITY
STATE
POSTAL CODE
COUNTRY
OR
3a. ORGANIZATIONS NAME BIG 0 TIRES, LLC
3b. INDIVIDUAL'S SURNAME
FIRST PERSONAL NAME
ADDITIONAL NAME(S) INITIAL(S)
SUFFIX
3c. MAILING ADDRESS Professional Center Drive, Suite
400
CITY
Palm Beach Gardens
STATE
FL
POSTAL CODE
33410
COUNTRY
USA
y
A. NAME PHONE OF CONTACT AT FILER (optional)
Corporation Service Company 1- 866 -484 -2382
B. E -MAIL CONTACT AT FILER (optional)
SPRFiIing @cscinfo.com
C. SEND ACKNOWLEDGMENT TO: (Name and Address)
81064994- 329650
Corporation Service Company
801 Adlai Stevenson Drive
Springfield, IL 62703
L
Filed In: Wyoming
(Lincoln)
UCC FINANCING STATEMENT
FOLLOW INSTRUCTIONS
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RECEIVED 11/1/2013 at 3:26 PM
RECEIVING 973989
BOOK: 823 PAGE: 515
JEANNE WAGNER
LINCOLN COUNTY CLERK, KEMMERER, WY
THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY
1. DEBTOR'S NAME: Provide only one Debtor name (la 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)
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)
3. SECURED PARTY'S NAME (or NAME of ASSIGNEE of ASSIGNOR SECURED PARTY): Provide only o e Secured Party name (3a or 3b
4. COLLATERAL: This financing statement covers the following collateral:
All product inventory, including tires, wheels, shocks, brake parts, and front end parts and all parts, attachments,
replacements, substitutions, supplies, accessories, accessions, additions and repairs thereto, and all accounts
receivables, proceeds, equipment, furniture fixtures, and general intangibles.
5. Check only if applicable and check only one box: Collateral is D held in a Trust (see UCC1Ad, item 17 and Instructions)
6a. Check only if applicable and check g0(y one box:
Public- Finance Transaction Manufactured -Home Transaction A Debtor is a Transmitting Utility
7. ALTERNATIVE DESIGNATION (if applicable): Lessee /Lessor Consignee /Consignor
8. OPTIONAL FILER REFERENCE DATA: 50207 Afton, WY
FILING OFFICE COPY UCC FINANCING STATEMENT (Form UCC1) (Rev. 04/20/11)
El Seller/
being administered by a Decedents Personal Representative
6b. Check only if applicable and check only one box:
Agricultural Lien Non -UCC Filing
Buyer
ci Bailee /Bailor
0 Licensee /Licensor
81064994
Corporation Service Company
2711 Centerville Rd, Ste. 400
Wilmington, DE 19808
OR
10a. ORGANIZATION'S NAME
10b. INDIVIDUAL'S SURNAME
INDIVIDUAL'S FIRST PERSONAL NAME
INDIVIDUAL'S ADDITIONAL NAME(S) INITIAL(S)
SUFFIX
10c. MAILING ADDRESS
CITY
STATE
POSTAL CODE
COUNTRY
11.
OR
ADDITIONAL SECURED PARTY'S NAME or ASSIGNOR SECURED PARTY'S NAME: Provide only one name (11a or 11b)
11a. ORGANIZATION'S NAME
11b. INDIVIDUAL'S SURNAME
FIRST PERSONAL NAME
ADDITIONAL NAME(S) /INITIAL(S)
SUFFIX
11c. MAILING ADDRESS
CITY
STATE
POSTAL CODE
COUNTRY
UCC FINANCING STATEMENT ADDENDUM
FOLLOW INSTRUCTIONS
AME OF FIRST DEBTOR: Same as line la or 1b on Financing Statement; if line lb was left blank
9a. ORGANIZATION'S NAME
Summit Tire, LLC
9b. INDIVIDUALS SURNAME
FIRST PERSONAL NAME
ADDITIONAL NAME(S) /INITIAL(S)
SUFFIX
9. N
OR
because Individual Debtor name did not fit, check here
10. DEBTOR'S NAME: Provide (10a or lob) only one additional Debtor name or Debtor name that did not fit in line lb 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
12. ADDITIONAL SPACE FOR ITEM 4 (Collateral):
13. lL] This FINANCING STATEMENT is to be filed [for record] (or recorded) in the
REAL ESTATE RECORDS (if applicable)
15. Name and address of a RECORD OWNER of real estate described in item 16
(if Debtor does not have a record interest):
MKM Holdings, LLC
P.O. Box 1585
Afton, WY 83110
17. MISCELLANEOUS:
14. This FINANCING STATEMENT:
0 covers timber to be cut 0 covers as- extracted collateral 0 is filed as a fixture filing
16. Description of real estate:
Please see attached for legal description.
FILING OFFICE COPY UCC FINANCING STATEMENT ADDENDUM (Form UCC1Ad) (Rev. 04/20/11)
THE ABOVE SPACE 1S FOR FILING OFFICE USE ONLY
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Corporation Service Company
2711 Centerville Rd, Ste. 400
Wilmington, DE 19808
Debtor Summit Tire, LLC
Secured Party Big 0 Tires, LLC
Legal Description of Premises:
That part of the SW1 /4SW1 /4 of Section 19, T32N, R118W, Lincoln County, Wyoming, within
the North Afton Annexation to the Town of Afton, Wyoming, being a part of that tract of record
in the Office of the Clerk of Lincoln County in Book 328 of Photostatic Records on page 336, as
follows:
COMMENCING at the intersection of the south line of said SW1 /4SW1 /4 with the east right -of-
way line of U.S. Highway 89, S89 25' -54 "E, 50.54 feet from the southwest corner of said
SW1 /4SW1 /4, found as described in the Corner Record filed in said Office;
thence N00 1T -05 "W, 330.00 feet, along said east right -of -way line, to the BATHEY OF
BEGINNING identical with the southwest bathey of said tract;
thence S89 25' -54 "E, 299.07 feet, parallel with said south line, to a bathey at the southeast corner
of said tract;
thence N00 14' -36 "W, 142.45 feet, along said east line, to a point;
thence N89 31' -06 "W, 298.96 feet, to a point on said east right -of -way line;
thence S00 12' -05 "E, 142.00 feet, along said east right -of -way line, to the BATHEY OF
BEGINNING;
ENCOMPASSING an area of 0.98 acre, more or less;
the BASE BEARING for this survey is the west line of the SW1 /4 of Section 19, T32N, R118W,
being N00 12' -00 "W;
each "intersection" and "point" marked by a 5/8" x 24" steel reinforcing rod with a 2" aluminum
cap inscribed "SURVEYOR SCHERBEL LTD BIG PINEY WY PLS 5368 OR "SURVEYOR
SCHERBEL LTD AFTON WY PLS 5368 and appropriate details;
each "bathey" marked by a steel T- shaped stake 24" long with a metal cap inscribed "PAUL N.
SCHERBEL PLS 164 SURVEY POINT";
all in accordance with the plat prepared to be filed in the Office of the Clerk of Lincoln County
titled "SCOTT L. CARLISLE AND CHERIE LYNN CARLISLE PLAT OF TRACTS IN THE
NORTH AFTON ANNEXATION TO THE TOWN OF AFTON WITHIN THE SW1 /4SW1 /4
SECTION 19 T32N R118W LINCOLN COUNTY, WYOMING dated 4 April 1997.
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