Fill and Sign the Send Acknow Ledgment to Name and Address Form

1a. ORGANI ZAT ION’S NAME 1b. INDI VIDU AL’S SURN AME FIR ST PERS ON AL NAME ADDI TION AL NAME(S) /INITIAL(S) SUFFIX 1c. MAIL ING ADDR ESS CITY STATE POSTA L CODE COUNTRY 2a. ORG ANI ZAT ION’S NAME 2b. INDI VIDU AL’S SURN AME FIR ST PERS ON AL NAME ADDI TION AL NAME(S) /INITIAL(S) SUFFIX 2c. MAIL ING ADDR ESS CITY STATE POSTA L CODE COUNTRY 3a. ORG ANI ZAT ION’S NAME 3b. INDI VIDU AL’S SURN AME FIR ST PERS ON AL NAME ADDI TION AL N AME(S) /INITIAL(S) SUFFIX 3c. MAIL ING ADDR ESS CITY STATE POSTA L CODE COUNTRY UC C FI NANC ING STATEM ENT FOLL OW IN ST RU CTIO NS A. NAME & PH ONE OF C ONTACT AT FILER [op tio na l] B. E-MA IL C ON TACT AT FILER [op tio na l] C. SE ND AC KNOW LEDGME NT TO: (Na me and Add ress) THE ABOVE SPA CE IS F OR FILING OFF ICE USE ONLY 1. D EB TO R’S NAME – Prov ide only one Debt or name (1a or 1b) (use ex act, full name; do not omi t, mod ify, or abbrevi ate any part of the Deb tor’s na me); if any part of the individ ual De bto r’s na me wi ll n ot fit in li ne 1b, lea ve all of item 1 b lank, check he re and provide the Individual De btor inform ation in item 1 0 of t he Fi nancing Statem ent Adden dum (F orm UCC1 Ad) OR 2. DEB TO R’S NAME – Prov ide only one debt or nam e (2a or 2 b) (use exact, f ull nam e; do not omi t, mod ify or abbrevi ate any par t of t he Debt or’s na me); if any par t of the individu al De btor ’s na me wi ll n ot fit i n line 2b, lea ve all of item 1 b lank, check he re and provide the Individual De btor inform ation in item 1 0 of t he Fi nancing Statem ent Adden dum (F orm UCC1 Ad) OR 3. SE CUR ED PARTY ’S NAME (or NAME o f A SS IGN EE of ASSIGNOR SECUR ED PA RTY) : Pr ov ide only one Sec ured P arty nam e (3a or 3 b) OR 4. CO LLATE RAL : This fina ncing statem ent cover s the followi ng collateral: 5. Ch eck only if applicable a nd check only one box : Collat era l is held in a Tr ust ( see UCC1 Ad, item 1 7 and ins truc tions) being administ ered by a Dec edent’s Persona l Represent ative 6. Ch eck only if ap plica ble and check only o ne box: P ubl ic-Fi nance Tr ansac tion A Debtor is a Tr ans mitti ng U til ity 7. ALTE RNATIVE DESIGNAT ION [if applicab le]: Lessee/ Lessor Consig nee/Con signor S eller/B uyer B ailee/ Bail or Li censee/ Licens or 8. OPT IONAL FILE R REFERE NCE DATA 401 FILING OFF ICE COPY — UCC FINANCI NG STAT EME NT (FORM UCC1) (OR R EV. 06 /14) Instructi ons for UCC Fin ancing State ment (Fo rm UCC1) P le as e typ e or la ser- print th is for m. Be sur e it is comp letely le gibl e. Rea d an d fo llow a ll In struc tio ns , es pecia lly Instru ction 1; us e of the c orrect nam e fo r th e De btor i s cru cia l. Fi ll in form very care fully ; mist akes ma y hav e im po rtan t le gal conseq uences. If yo u hav e que stions , consu lt you r att orney . The filing off ic e canno t giv e le gal adv ice. When properly complet ed, sen d Fi ling Office Copy , with re quired $15.00 fee to Sec retar y of State Corpora tion Divis ion/ UC C S ection 25 5 Cap itol St. NE , St e. 151 Sale m, Oregon 97310 . Rejecte d filings are sub jec t to t he n on-refunda ble proc essing fee. If yo u nee d to us e att achments, yo u are encourage d to use eit her Ad dendu m (Form UCC 1 Ad) or A dditiona l Party (Fo rm UCC1 AP). ITE M INST RUCTIONS A. and B . To as sis t filing off ices that might wish to comm unicat e wit h fil er , fil er ma y prov ide inform ation in item A and item B . These items are optio nal. C . Complete item C i f fil e r des ires a n ack nowle dg men t sen t to the m. 1. Debtor ’s name. Carefully rev iew app lic ab le statut ory gu idan ce abou t providi ng th e de btor ’s name. Ente r on ly one Debto r name in ite m 1 -eit her a n organ iza tio n's na me (1a ) or an in dividua l’s name (1b). If any par t of the I ndivid ua l Deb tor ’s name w ill no t fit in li n e 1b , che ck the box in item 1 , le ave all o f item 1 bla nk, che ck th e bo x in item 9 of the Financ ing St atem ent A ddend um (Form UCC1 Ad) an d en ter the I ndivid ua l Deb tor name in item 1 0 of the Financ ing St atem ent A ddend um (Form UCC1 Ad) . Ente r Deb tor ’s cor rect na me. D o not abbrev iate word s that are no t a lread y abbreviat ed in the Debt or’s na me. If a po rtion of the Debt or’s na me con sist s of on ly an in itial or an abbreviation ra the r than a full w ord , en ter on ly th e abbrev iation or th e i nit ial. I f the co llat era l is he ld in a trust and the Deb tor name i s th e nam e of the tru st, en ter t rust name in th e O rgan iza tio n’s Name box in i te m 1a. 1a . O rgan iza tion Deb tor Name. “O rganiza tion Name” m eans th e name o f an ent ity t hat is not a natura l per son . A so le propr ietorsh ip is n ot an organ iza tio n, eve n if the indiv idua l propriet or doe s bu sin ess under a trad e name . If Deb tor is a regist ere d organ iza tion (e.g., c orporation , lim ited par tner ship, limite d liability com pany), it is advisab le to exam ine Deb tor ’s curren t filed pub lic organ ic recor ds to de termin e Debt or's c orr ect name. T rade name i s insuf fic ient . If a c orpora te ending (e.g., corpora tio n, limited partner ship, limite d liability com pany) is par t of th e Deb tor ’s name, i t must be inclu ded . Do no t use w ords tha t are not part o f th e Deb tor ’s na me. 1b . Ind ivid ua l Deb tor Name. “I ndivid ua l Name” m eans th e name o f a natura l per son ; th is i nclude s the name o f a n in dividua l do ing bu sines s as a so le propr ietorship, w hethe r o r no t opera ting unde r a trad e name . The term inc lude s the nam e of a dec eden t wher e co llat era l is bei ng adm inist ere d by a per sona l repre sen tativ e of th e de cede nt. T he term does not inc lude th e name of a n entity , eve n if it con tains , as par t of the en tity ’s name , the nam e of an indiv idua l. Pre fixes (e.g. , Mr., M rs., M s.) an d tit les (e.g., M.D. ) are genera lly not par t of an indiv idua l name . I nd icat ions o f li neage (e.g. , Jr. , S r., III ) genera lly are no t par t of th e in dividua l’s name , bu t ma y be entere d in the Su ffix bo x. Ente r individua l Deb tor ’s surn ame (fami ly name ) in Ind ividu al’s Surn ame box, first persona l name in Fir st P er son al Nam e box, an d all add itio na l na mes in A dd itio na l Na me(s)/Init ial(s) box. If a Deb tor ’s name consists of only a single w ord , en ter that w ord in Ind ivid ua l’s Surn ame box an d le ave othe r bo xes b lank. For both organ iza tion an d indiv idua l Deb tor s. D o not us e Deb tor’s trad e name, DBA , AKA , FKA , divis ion name, etc. in p lace of or comb ined with Debtor ’s c orre ct name ; filer ma y ad d such ot her na mes as add itio na l Deb tors if des ired (bu t th is is ne ithe r requ ired no r recomm ended). 1c . Enter a ma iling addres s for th e Deb tor named in item 1a o r 1b . 2. Add itional De btor’s name. If a n add itio na l Deb tor is inc luded , complet e item 2, determ ined an d for ma tted pe r In struc tion 1. For additiona l Deb tors , attac h eit he r A dde ndu m ( Form UCC1 Ad) or A dd itio na l P arty (Fo rm UCC1 AP) an d fo llow I nstru ction 1 for de termin ing and for ma ttin g add itio na l names. 3. Sec ured Party’ s name. Ente r nam e an d mail ing addr ess for Sec ured Par ty o r Ass ignee who will b e the Sec ured P arty of recor d. For additio na l Sec ured P artie s, attac h eit he r A ddend um (Form UCC1 Ad) or A dd itio na l P arty (Fo rm UC C1AP ). If t her e ha s bee n a full a ss ignmen t o f the initia l Sec ured P arty’s rig ht to be Sec ured P arty of recor d be fore filing this for m, eit her (1) enter Ass igno r Sec ured Party ‘s na me and mailin g addres s in item 3 o f th is form and f ile an Am endment (F orm UCC3 ) [se e item 5 o f tha t form] ; o r (2) enter Ass ignee ’s nam e and ma iling addres s in item 3 of thi s form and, if des ired , als o att ach A ddendu m (Form UCC1 Ad) giv ing Assig nor Sec ured P arty’s name and ma iling addres s in item 11. 4. Collateral. Use item 4 to indicate the co llat era l covere d by thi s fin an cing statement . If spa ce in item 4 is insuffic ie nt , cont inue the col latera l des cription in item 1 2 of the A ddend um (Form UCC1 Ad) or at ta ch add itio na l page( s) an d incorp ora te by re feren ce in item 1 2 (e .g. , Se e Exh ibit A). D o no t inc lude social sec urity num bers or ot he r pe rsona lly id entifia ble inform ation. No te: If thi s fin anc ing st ate me nt co ver s timb er to be cut, c overs as- extra cted col latera l, and /or is fil ed a s a fixture filin g, a tt ach A ddend um (Form UCC1 Ad) an d comp lete the requ ired inform ation in items 13, 14 , 15 , and 16. 5. If co llat era l is held in a t rust or being administ ere d by a de cede nt’s per sona l repre sen tative , chec k th e approp riate box in item 5 . If m ore tha n on e Deb tor has an interest in the des cribed co llat era l an d the c heck bo x doe s no t app ly to th e intere st of a ll Deb tors, the f iler s hould con sid er fi lin g a separa te Fin anc ing Statem ent (Fo rm UCC1 ) for ea ch Deb tor . 6. I f th is fin an cing statement relate s to a Pub lic- Fin anc e Trans ac tio n, o r a Debto r is a T ransmitting Utility , chec k th e appropr iate box in item 6a . If a Deb tor is a T ransmitting Utilit y and the in itial fin anc ing st atement i s fil ed in connec tion with a Pub lic - Fin ance T ransact ion, chec k on ly tha t a Deb tor is a T ransmitting Utility . 7. Altern ative Des igna tion. If filer desir es (a t fil er 's op tio n) t o use th e desig nat ions less ee and less or, con sig ne e an d cons ignor , sel ler an d buye r (such a s in the cas e of the sa le of a paym ent int ang ible, promiss ory no te, ac coun t or c hattel pap er) , ba ile e an d ba ilo r, or license e an d li censo r in st ea d of Deb tor and Sec ured Par ty, chec k th e appropr iate box in item 7. 8. Optional Filer Refe rence Data . Th is item is optiona l and is for f iler 's us e only. For filer 's conven ience of re feren ce, fil er may enter in item 8 any id en tify ing i nformat ion that filer ma y find usefu l. Do no t inc lude social sec urity num bers or ot he r per sona lly id entifia ble inf ormat ion.