UCC FINANCING STATEMENT FOLLOW INSTRUCTIONS (front and back) CAREFULLY A. NAME & PHONE OF CONTACT AT FILER [optional] B. SEND ACKNOWLEDGMENT TO: (Name and Address) THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY 1. DEBTOR'S EXACT FULL LEGAL NAME - insert only one debtor name (1a or 1b) - do not abbreviate or combine names 1a. ORGANIZATION'S NAME OR 1b. INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE NAME SUFFIX 1c. MAILING ADDRESS CITY STATE COUNTRY 1f. JURISDICTION OF ORGANIZATION 1g. ORGANIZATIONAL ID #, if any 1d. TAX ID #: SSN OR EIN Do Not Provide ADD'L INFO RE 1e. TYPE OF ORGANIZATION ORGANIZATION DEBTOR POSTAL CODE NONE 2. ADDITIONAL DEBTOR'S EXACT FULL LEGAL NAME - insert only one debtor name (2a or 2b) - do not abbreviate or combine names 2a. ORGANIZATION'S NAME OR FIRST NAME 2c. MAILING ADDRESS 2d. TAX ID #: SSN OR EIN Do Not Provide ADD'L INFO RE ORGANIZATION DEBTOR 2e. TYPE OF ORGANIZATION MIDDLE NAME CITY 2b. INDIVIDUAL'S LAST NAME STATE 2f. JURISDICTION OF ORGANIZATION 2g. ORGANIZATIONAL ID #, if any SUFFIX POSTAL CODE COUNTRY NONE 3. SECURED PARTY'S NAME (or NAME of TOTAL ASSIGNEE of ASSIGNOR S/P) - insert only one secured party name (3a or 3b) 3a. ORGANIZATION'S NAME OR 3b. INDIVIDUAL'S LAST NAME MIDDLE NAME CITY 3c. MAILING ADDRESS FIRST NAME STATE SUFFIX POSTAL CODE COUNTRY 4. This FINANCING STATEMENT covers the following collateral: 5. ALTERNATIVE DESIGNATION [if applicable]: LESSEE/LESSOR CONSIGNEE/CONSIGNOR BAILEE/BAILOR SELLER/BUYER This FINANCING STATEMENT is to be filed [for record] (or recorded) in the REAL 6. 7. Check to REQUEST SEARCH REPORT(S) on Debtor(s) ESTATE RECORDS. Attach Addendum [if applicable] [ADDITIONAL FEE] [optional] AG. LIEN All Debtors NON-UCC FILING Debtor 1 Debtor 2 8. OPTIONAL FILER REFERENCE DATA FILING OFFICE COPY — NATIONAL UCC FINANCING STATEMENT (FORM UCC1) (REV. 07/29/98) American LegalNet, Inc. www.FormsWorkflow.com North Carolina Instructions for National UCC Financing Statement (Form UCC1) Please type or laser-print this form. Be sure it is completely legible. Read all instructions, especially instruction 1; correct Debtor name is crucial. Follow instructions completely. Fill in form very carefully; mistakes may have important legal consequences. If you have questions, consult your attorney. Filing office cannot give legal advice. Do not insert anything in the open space in the upper portion of this form; it is reserved for filing office use. When properly completed, send Filing Office copy, with required fee, to filing office. If you want an acknowledgement, complete item B. The filing office requests that you also include a self-addressed stamped envelope if you are requesting an acknowledgement and you request that your acknowledgement be sent by mail. If you want to make a search request on this form, extreme caution should be used in requesting a search by completing item 7. The filing office prefers that you use the “Information Request Form” (UCC-11) for search requests. When filing in the central filing office, detach the Search Report Copy, and the Debtor and Secured Party Copies. If you need to use attachments, use 8 ½ x 11 inch sheets and put at the top of each sheet the name of the first Debtor, formatted exactly as it appears in item 1 of this form; you are encouraged to use Addendum (Form UCC1Ad). Do not use a highlighter on any portion of a record you tender for filing. A. B. To assist filing office that might wish to communicate with the filer, filer may provide information in item A. This item is optional. Complete item B if you want an acknowledgement sent to you. If filing in a filing office that returns an acknowledgement copy furnished by filer, present simultaneously with this form a carbon or other copy of this form for use as an acknowledgement copy. Include your e-mail address in Block B. 1. Debtor Name: Enter only one Debtor name in item 1, an organization’s name (1a) or an individual’s name (1b). Enter 2. If an additional Debtor is included, complete item 2, determined Debtor’s exact full legal name. Do not abbreviate. and formatted per Instruction 1. To include further additional 1a. Organization Debtor. “Organization” means an entity having Debtors, or one or more additional Secured Parties, attach either a legal identity separate from its owner. A partnership is an Addendum (Form UCC1Ad) or other additional page(s), using organization; a sole proprietorship is not an organization, even if it correct name format. Follow Instruction 1 for determining and does business under a trade name. If Debtor is a partnership, enter formatting additional names. exact full legal name of partnership; you need not enter names of 3. Enter information for Secured Party or Total Assignee, partners as additional Debtors. If Debtor is a registered organization determined and formatted per Instruction 1. If there is more than (e.g., corporation, limited partnership, limited liability company) it is one Secured Party, see Instruction 2. If there has been a total advisable to examine Debtor’s current filed charter documents to assignment of the Secured Party’s interest prior to filing this form, determine Debtor’s correct name, organization type, and jurisdiction of you may either (a) enter the Assignor S/P’s name and address in organization. item 3 and file an Amendment (Form UCC3) [see item 5 of that 1b. Individual Debtor. “Individual” means a natural person; this form]; or (b) enter Total Assignee’s name and address in item 3 includes a sole proprietorship, whether or not operating under a trade and, if you wish, also attach Addendum (Form UCC1Ad) giving name. Do not use prefixes (Mr., Mrs., Ms.). Use suffix box only for Assignor S/P’s name and address in item 12. titles of lineage (Jr., Sr., III) and not for other suffixes or titles (e.g., 4. Use item 4 to indicate the collateral covered by this Financing M.D.). Use married woman’s personal name (Mary Smith not Mrs. Statement. If space in item 4 is insufficient, put the entire John Smith). Enter individual Debtor’s family name (surname) in Last collateral description or continuation of the collateral description Name box, first given name in First Name box, and all additional given on either Addendum (Form UCC1Ad) or other attached additional names in Middle Name box. For both organization and individual page(s). Debtors: Do not use Debtor’s trade name, DBA, AKA, FKA, Division 5. If filer desires (at filer’s option) to use titles of lessee and lessor, name, etc., in place of or combined with Debtor’s legal name; you may or consignee and consignor, or seller or buyer (in the case of add such other names as additional Debtors if you wish (but this is accounts or chattel paper), or bailee and bailor instead of Debtor neither required nor recommended.) and Secured Party, check the appropriate box in item 5. If this is 1c. An address is always required for the Debtor named in 1a or an agricultural lien filing, check the appropriate box in item 5, 1b. complete items 1-7 as applicable and attach any other items 1d. Debtor’s taxpayer identification number (tax ID #) ,social required under other law. security number or employer identification number – is not required in 6. If this Financing Statement is filed as a fixture filing or if the North Carolina. collateral consists of timber to be cut or as-extracted collateral, 1e, f, g. “Additional information re organization Debtor” is always complete items 1-5, check the box in item 6, and complete the required. Type of organization and jurisdiction of organization as well required information (items 13, 14 and/or 15) on Addendum (Form as Debtor’s exact legal name can be determined from the Debtor’s UCC1Ad). current filed charter document. In North Carolina this information 7. The central filing office prefers searches to be requested on may be obtained by going to the Department of the Secretary the “Information Request Form”. State web site: www.sosnc.com and using the Corporation 8. This item is optional and is for filer’s use only. For filer’s Division’s corporate on-line search. Organizational ID# (SOS ID # convenience of reference, filer may enter in item 8 any identifying found in the N. C. corporate on-line search) , if any, is assigned by information (e.g. Secured Party’s loan number, law firm file the agency where the charter document was filed; this is different from number, Debtor’s name or other identification, state in which form tax ID#; this should be entered preceded by the 2-character U.S. is being filed, etc.) that filer may find useful. Postal identification of state of organization if one of the United States (e.g., NC12345, for a North Carolina corporation whose SOS ID# North Carolina UCC Record Processing Fees is 12345); if agency does not assign organizational ID #, check box in • $30.00 + $2.00 transaction fee if filed electronically item 1g indicating “none”. (www.sosnc.com) If filed by paper: Note: If Debtor is a trust or a trustee acting with respect to property • $38.00 for the first 2 pages of UCC filing held in trust, enter Debtor’s name in item 1 and attach Addendum • $45.00 for filing 3 to 10 pages (Form UCC1Ad) and check appropriate box in item 17. If Debtor is a • $45.00 plus $2.00 per page for over 10 pages decedent’s estate, enter name of deceased individual in item 1b and North Carolina UCC Search Fees attach Addendum (Form UCC1Ad) and check appropriate box in item • Online research is free at www.sosnc.com If research is 17. If Debtor is a transmitting utility or this Financing Statement filed in conducted by our staff (by filing a UCC-11): connection with a Manufactured-Home Transaction or a Public• $38.00 per debtor name researched plus $2.00 per page for Finance Transaction as defined in application Commercial Code, copies, (in the central filing office), and if desired, $6.25 for a attach Addendum (Form UCC1Ad) and check appropriate box in item search certificate. Please use the “Information Request 18. Form”. American LegalNet, Inc. www.FormsWorkflow.com UCC FINANCING STATEMENT ADDENDUM FOLLOW INSTRUCTIONS (front and back) CAREFULLY 9. NAME OF FIRST DEBTOR (1a or 1b) ON RELATED FINANCING STATEMENT 9a. ORGANIZATION'S NAME OR MIDDLE NAME,SUFFIX FIRST NAME 9b. INDIVIDUAL'S LAST NAME 10. MISCELLANEOUS: THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY 11. ADDITIONAL DEBTOR'S EXACT FULL LEGAL NAME - insert only one name (11a or 11b) - do not abbreviate or combine names 11a. ORGANIZATION'S NAME OR 11b. INDIVIDUAL'S LAST NAME FIRST NAME 11d. TAX ID #: SSN OR EIN Do Not Provide 12. ADD'L INFO RE ORGANIZATION DEBTOR 11e. TYPE OF ORGANIZATION ADDITIONAL SECURED PARTY'S or SUFFIX CITY 11c. MAILING ADDRESS MIDDLE NAME STATE COUNTRY 11f. JURISDICTION OF ORGANIZATION 11g. ORGANIZATIONAL ID #, if any POSTAL CODE NONE ASSIGNOR S/P'S NAME - insert only one name (12a or 12b) 12a. ORGANIZATION'S NAME OR 12b. INDIVIDUAL'S LAST NAME FIRST NAME CITY 12c. MAILING ADDRESS 13. This FINANCING STATEMENT covers collateral, or is filed as a timber to be cut or as-extracted MIDDLE NAME STATE SUFFIX POSTAL CODE COUNTRY 16. Additional collateral description: fixture filing. 14. Description of real estate: 15. Name and address of a RECORD OWNER of above-described real estate (if Debtor does not have a record interest): 17. Check only if applicable and check only one box. Debtor is a Trust or Trustee acting with respect to property held in trust or Decedent's Estate 18. Check only if applicable and check only one box. Debtor is a TRANSMITTING UTILITY Filed in connection with a Manufactured-Home Transaction — effective 30 years Filed in connection with a Public-Finance Transaction — effective 30 years FILING OFFICE COPY — NATIONAL UCC FINANCING STATEMENT ADDENDUM (FORM UCC1Ad) (REV. 07/29/98) American LegalNet, Inc. www.FormsWorkflow.com Instructions for National UCC Financing Statement Addendum (Form UCC1Ad) 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. Miscellaneous: Under certain circumstances, additional information not provided on Financing Statement may be required. Also, some states have non-uniform requirements. Use this space to provide such additional information or to comply with such requirements; otherwise, leave blank. 11. If this Addendum adds an additional Debtor, complete item 11 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 inch 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. 12. If this Addendum adds an additional Secured Party, complete item 12 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 12. 13-15. If collateral is timber to be cut or as-extracted collateral, or if this Financing Statement is filed as a fixture filing, check appropriate box in item 13; provide description of real estate in item 14; and, if Debtor is not a record owner of the described real estate, also provide, in item 15, the name and address of a record owner. Also provide collateral description in item 4 of Financing Statement. Also check box 6 on Financing Statement. Description of real estate must be sufficient under the applicable law of the jurisdiction where the real estate is located. 16. Use this space to provide continued description of collateral, if you cannot complete description in item 4 of Financing Statement. 17. If Debtor is a trust or a trustee acting with respect to property held in trust or is a decedent’s estate, check the appropriate box. 18. If Debtor is a transmitting utility or if the Financing Statement relates to a Manufactured-Home Transaction or a Public-Finance Transaction as defined in the applicable Commercial Code, check the appropriate box. American LegalNet, Inc. www.FormsWorkflow.com