Fill and Sign the Ucc Financing Statement Amendment Additional Party Ucc Financing Statement Amendment Additional Party Form

USE THIS FORM TO ADD NAMES ONLY ( D O NOT USE FOR CHANGE S , DELETIONS , OR ASSIGNMENTS ) UCC FINANCING STATEMENT AMENDMENT ADDITIONAL PARTY FOLLOW INSTRUCTIONS 19 . IN ITIAL FINANCING STATEMENT FILE NUMBER: S ame as item 1a on Amendment form 20 . NAME OF PA RTY AUTHORIZING THIS AMENDMENT: S ame as item 9 on Amendment form 20 a. ORGANIZATION’S NAME OR 20b. INDIVIDUAL’S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME (S)/INITIAL(S) SUFFIX THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY 21 . ADDITIONAL DEBTOR’S NAM E: Provide only one Debtor name (21a or 21 b) (use exact, full name; do not omit, modify, or abbreviate any part of the Debtor’s name) OR 21 a. ORGANIZATION’S NAME 21b. INDIVIDUAL’S SUR NAME FIRST PERSONAL NAME ADDITIONAL NAME (S)/INITIAL(S) SUFFIX 21 c. MAILING ADDRESS CITY STATE POSTAL CODE COUNTRY 22 . ADDITIONAL DEBTOR’S NAME: Provide only one Debtor name (22a or 22b) (use exact, full name; do not omit, modify, or abbreviate any part of the Debtor’s name) OR 22 a. ORGANIZATION’S NAME 22b. INDIVIDUAL’S SUR NAME FIRST PERSONAL NAME ADDITIONAL NAME (S)/INITIAL(S) SUFFIX 22 c. MAILING ADDRESS CITY STATE POSTAL CODE COUNTRY 23 . ADDITIONAL DEBTOR’S NAME: Provide only one Debtor name (23a or 23b) (use exact, full name; do not omit, modify, or abbreviate any part of the Debtor’s name) OR 23 a. ORGANIZATION’S NAME 23b. INDIVIDUAL’S SUR NAME FIRST PERSONAL NAME ADDITIONAL NAME (S)/INITIAL(S) SUFFIX 23 c. MAILING ADDRESS CITY STATE POSTAL CODE COUNTRY 24. ADDITIONAL SECURED PARTY’S NAME or ASSIGNOR SECURED PARTY’S NAME: Provide only one name (24a or 24b) OR 24a. ORGANIZATION’S NAME 24b. INDIVIDUAL’S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME (S)/INITIAL(S) SUFFIX 24c. MAILING ADDRESS CITY STATE POSTAL CODE COUNTRY 25. ADDITIONAL SECURED PARTY’S NAME or ASSIGNOR SECURED PARTY’S NAME: Provide only one name (25a or 25 b) OR 25a. ORGANIZATION’S NAME 25b. INDIVIDUAL’S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME (S)/INITIAL(S) SUFFIX 25c. MAILING ADDRESS CITY STATE POSTAL CODE COUNTRY 26 . MISCELLANEOUS 406 FILING OFFICE COPY — UCC FINANCING STATEMENT AMENDMENT ADDITIONAL PARTY (FORM UCC3AP) (Rev. 06/13) Instructions for UCC Financing Statement Amendment Additional Party (Form UCC3AP) Please type or laser -print this form. Be sure it is completely legible. Read and follow all Instructions; use of the correct name for the Debtor i s crucial. Fill in form very carefully; mistakes may have important legal consequences. If you have questions, consult your attorney. Th e filing office cannot give legal advice. Use this form (multiple copies if needed) to continue adding additional Debtor or Secured Party names as needed when filing a UCC Financing Statement Amendment (Form UCC3). ITEM INSTRUCTIONS 19. File Number. Enter file number of initial financing statement as shown in item 1a of Amendment (Form UCC3) to which this Amendment Addendum relates. 20. Name of Authorizing Party. Enter information exactly as shown in item 9 on Amendment (Form UCC3). 21-23. Additional Debtor’s name. If this Amendment Additional Party adds additional Debtors, complete items 21, 22, and 23 in accordance with Instruction 1 of Financing Statement (Form UCC1). 24-25. Additional Secured Party’s name or Assignor Secured Party’s name. If this Amendment Additional Party adds additional Secured Parties, complete item s 24 and 25 in accordance with Instruction 3 of Financing Statement (Form UCC1). In the case of an assignment of the Secured Party’s interest, filer may enter Secured Party and/or Assignor Secured Party’s name and mailing address information in items 24 and 25. 26. Miscellaneous. Under certain circumstances, additional information not provided on the Financing Statement Amendment (Form UCC3) may be required. Also, some states have non -uniform requirements. Use this space or at tach additional page(s) and incorporate by reference in item 26 (e.g., See Exhibit A) to provide such additional information or to comply with such requirements; otherwise, leave blank. Do not include social security numbers or other personally identifiable information.