FILING OFFICE COPY — UCC FINANCING STATEMENT ADDITIONAL PARTY (Form UCC1AP) (Rev. 08/22/11)
THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY
OR
UCC FINANCING STATEMENT ADDITIONAL PARTY
FOLLOW INSTRUCTIONS
18. NAME OF FIRST DEBTOR: Same as line 1a or 1b on Financing Statement; if line 1b was left blank
because Individual Debtor name did not fit, check here
18a. ORGANIZATION'S NAME
18b. INDIVIDUAL'S SURNAME
ADDITIONAL NAME(S)/INITIAL(S)
FIRST PERSONAL NAME
19. ADDITIONAL DEBTOR'S NAME: Provide only one Debtor name (19a or 19b) (use exact, full name; do not omit, modify, or abbreviate any part of the Debtor’s name)
24. MISCELLANEOUS:
SUFFIX
OR
19b. INDIVIDUAL'S SURNAME
FIRST PERSONAL NAME
POSTAL CODE
19c. MAILING ADDRESS CITY
ADDITIONAL NAME(S)/INITIAL(S)
STATE
SUFFIX
COUNTRY
19a. ORGANIZATION'S NAME
22. ADDITIONAL SECURED PARTY'S NAME or ASSIGNOR SECURED PARTY'S NAME: Provide only one name (22a or 22b)
OR
22b. INDIVIDUAL'S SURNAME
FIRST PERSONAL NAME
POSTAL CODE
22c. MAILING ADDRESS CITY
ADDITIONAL NAME(S)/INITIAL(S)
STATE
SUFFIX
COUNTRY
22a. ORGANIZATION'S NAME
20. ADDITIONAL DEBTOR'S NAME: Provide only one Debtor name (20a or 20b) (use exact, full name; do not omit, modify, or abbreviate any part of the Debtor’s name)
OR
20b. INDIVIDUAL'S SURNAME
FIRST PERSONAL NAME
POSTAL CODE
20c. MAILING ADDRESS CITY
ADDITIONAL NAME(S)/INITIAL(S)
STATE
SUFFIX
COUNTRY
20a. ORGANIZATION'S NAME
21. ADDITIONAL DEBTOR'S NAME: Provide only one Debtor name (21a or 21b) (use exact, full name; do not omit, modify, or abbreviate any part of the Debtor’s name)
OR
21b. INDIVIDUAL'S SURNAME
FIRST PERSONAL NAME
POSTAL CODE
21c. MAILING ADDRESS CITY
ADDITIONAL NAME(S)/INITIAL(S)
STATE
SUFFIX
COUNTRY
21a. ORGANIZATION'S NAME
23. ADDITIONAL SECURED PARTY'S NAME or ASSIGNOR SECURED PARTY'S NAME: Provide only one name (23a or 23b)
OR
23b. INDIVIDUAL'S SURNAME
FIRST PERSONAL NAME
POSTAL CODE
23c. MAILING ADDRESS CITY
ADDITIONAL NAME(S)/INITIAL(S)
STATE
SUFFIX
COUNTRY
23a. ORGANIZATION'S NAME
International Association of Commercial Administrators (IACA)