SECRETARY OF THE STATE OF CONNECTICUT MAILING ADDRESS: COMMERCIAL RECORDING DIVISION, CONNECTICUT SECRETARY OF THE STATE, P.O. BOX 150470, HARTFORD, CT 06115-0470 DELIVERY ADDRESS: COMMERCIAL RECORDING DIVISION, CONNECTICUT SECRETARY OF THE STATE, 30 TRINITY STREET, HARTFORD, CT 06106 PHONE: 860-509-6002 WEBSITE: www.concord-sots.ct.gov STATE OF CONNECTICUT UCC-1 FINANCING STATEMENT ADDENDUM USE INK. COMPLETE ALL SECTIONS. PRINT OR TYPE. ATTACH 81/2 X 11 SHEETS IF NECESSARY. FILING PARTY (CONFIRMATION WILL BE SENT TO THIS ADDRESS): CUSTOMER ID: NAME: ADDRESS: CITY: STATE: EMAIL: 9. NAME OF FIRST DEBTOR (1a OR 1b) ON RELATED FINANCING STATEMENT: 9A. ORGANIZATION'S NAME OR 9B. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ABBREVIATE OR COMBINE NAMES ZIP: MIDDLE SUFFIX 10. ADDITIONAL DEBTOR'S EXACT FULL LEGAL NAME - INSERT ONLY ONE DEBTOR NAME (10A OR 10B) - DO NOT 10A. ORGANIZATION'S NAME OR 10B. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME 10C. MAILING ADDRESS: ADDRESS: MIDDLE SUFFIX CITY: STATE: 11. ZIP: ADDITONAL SECURED PARTY'S or ASSIGNOR S/P'S NAME - INSERT ONLY ONE NAME (11A OR 11B) 11A. ORGANIZATION'S NAME OR 11B. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME MIDDLE SUFFIX COUNTRY: PAGE 1 OF 2 FORM UO-1-1.1 Rev. 7/2013 11C. MAILING ADDRESS: ADDRESS: CITY: STATE: ZIP: COUNTRY: 12. ADDITIONAL COLLATERAL DESCRIPTION: 13. MISCELLANEOUS: PAGE 2 OF 2 FORM UO-1-1.1 Rev. 7/2013 Instructions for Connecticut UCC Financing Statement (Form UCC-1Ad) INSTRUCTIONS 9. Insert name of first Debtor shown on Financing Statement to which this Addendum is related, exactly as shown in item 1 of Financing Statement. 10. If this Addendum adds an additional Debtor, complete item 8 in accordance with instruction 1 on Financing Statement. To add more than one additional Debtor, either use an additional Addendum form for each additional Debtor or replicate for each additional Debtor the formatting of Financing Statement item 1 on an 8 1/2 x 11 sheet (showing at the top of the sheet the name of the first Debtor shown on the Financing Statement), and in either case give complete information for each additional Debtor in accordance with Instruction 1 on Financing Statement. All additional Debtor information, especially the name, must be presented in proper format exactly identical to the format of item 1 of Financing Statement. 11. If this Addendum adds an additional Secured Party, complete item 9 in accordance with Instruction 3 on Financing Statement. In the case of a total assignment of the secured Party's interest before the filing of this Financing Statement, if filer has given the name and address of the Total Assignee in item 3 of the Financing Statement, filer may give the Assignor S/P's name and address in item 9. 12. Use this space to provide continued description of collateral, if you cannot complete description in item 4 of Financing Statement. 13. Use this space to provide any other information the filer might need to add pursuant to item 5. OFFICE OF THE SECRETARY OF THE STATE MAILING ADDRESS: COMMERCIAL RECORDING DIVISION CONNECTICUT SECRETARY OF THE STATE P.O. BOX 150470 HARTFORD, CT 06115-0470 DELIVERY ADDRESS: COMMERCIAL RECORDING DIVISION CONNECTICUT SECRETARY OF THE STATE 30 TRINITY STREET HARTFORD, CT 06106 PHONE:860-509-6002 WEBSITE: www.concord-sots.ct.gov INSTRUCTIONS DO NOT SCAN THIS PAGE FORM UO-1-1.1 Rev. 7/2013