HomeMy WebLinkAbout889563UCC FINANCING STATEMENT AMENDMENT
FOLLOW INSTRUCTIONS (front and back)CAREFULLY
I A. NAME & PHONE OF CONTACT AT FILER [optional]
Phone (800) 331:3282 Fax (818) 662-4141
B. SEND ACKNOWLEDGEMENT TO: (Name and Mailing Address) 510157 IFLEMING
I
UCC Direct Services 5781667.1
P.O. Box 29071
Glendale, CA 91209-9071 WYOM
889563
RECEIVED -
LINCOLN COUNTY CLERK
BOOK ,-._~1~_~ PR PAGE 2 1 6
THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY
la. INITIAL FINANCING STATEMENT FILE # l~his FINANCING STATEMENT AMENDMENT is
U~75540 05-12-88 CC WY Lincoln II ~ to be filed [for record] (or recorded) in the ~
'4 REAL ESTATE RECORDS.
~ 2. [] TERMINATION: Effecliveness of the Financing Statement identified above is terminated w4th respect to secudty interest(s) of the Secured Party authorizing this Terr~nation Statement.
3. rXl CONTINUATION: Effectiveness of the Financing Slalement identified above with respect to the secudty interest(s) of the Secured Pady authorizing this Continuation
Statement
is
continued for Ihe additional period provided by applicable law.
4. [] ASSIGNMENT (full or partial): Give name of assignee in item 7a or 7b and address of assignee in 7c; and also give name of assignor in item 9.
5. AMENDMENT (PART~' INFORMATION): This Amendment affectsE~ Debtor o_rr [] Secured Party of record. Check only ~ne o( these two boxes.
Also check on_~e of the following three boxes an~d provide appropriate information in items 6 and/or 7.
~] CHANGE name and/or address: Give current record name in item 6a or 6b; also give new E~ DELETE name: Give record name [] ADD name: Complete item 7a or 7b. and also
narr~ (if name change) in item 7a or 7b and/or ~ew address (if address change) in item 7c. to be deleted in item 6a or 6b.item 7c; also complete items 7d-7g (if applicable
6. CURRENT RECORD INFORMATION:
6a. ORGANIZATION'S NAME .
H.N.A., Inc.
OR Bb. INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE NAME I SUFFIX
7. CHANGED (NEW) OR ADDED INFORMATION:
OR 7a. ORGANIZATION'S NAME
7b. INDIVIDUAL'S LAST NAME
FIRST NAME
CITY
7f. JUR SD CTION OF ORGANIZATION
MIDDLE NAME
SUFFIX
7c. MAILING ADDRESS
7d. TAX ID#: SSN or EINADD'L INFO RE 7e. TYPE OF ORGANIZATION
ORGAN IZATION
DEBTOR
STATE POSTALCODE
COUNTRY
7g. ORGANIZATIONAL ID #, if any
~]NONE
8. AMENDMENT (COLLATERAL CHANGE): check only one box.
-- D .... ibe collaterall I deleted or II added, or gl .... tirel I restated collateral d .... iptio .... d .... ibe collateral~assigned.
9. NAME OF SECURED PARTY OF RECORD AUTHORIZING TH S AMENDMENT (name of assignor, if this is an Assignment). If Ihis is an Amendment authorized by a Debtor which
adds collaleral or adds the authorizing Debtor, or if this is a Termination aulhodzed by a Debtor, check heretO] and enter name of DEBTOR authorizing Ihis Amendment.
9a. ORGANIZATION'S NAME
OR Fleming Companies, Inc.
9b. INDIVIDUAL'S LAST NAME MIDDLE NAME SUFFIX
.
FIRST NAME
10. OPTIONAL FILER REFERENCE DATA
5781667.1 Dehtnr Name: H.N.A., Inc. 21~6005
FILING OFFICE Cu,, - r***~ONAL UCC FINANCING STATEMENT AMENDMEN ~ tr'Or,,v, UCC3) (REV. 07/29/98)
PrePared by UCC Dir ,'.O, Box 29071
Glendale, CA 91209-9071 Tel (800)331-3282