UCC1
UCC1
UCC1
FOLLOW INSTRUCTIONS A. NAME & PHONE OF CONTACT AT FILER (optional) B. E-MAIL CONTACT AT FILER (optional) C. SEND ACKNOWLEDGMENT TO: (Name and Address)
THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY 1. DEBTOR'S NAME: Provide only one Debtor name (1a or 1b) (use exact, full name; do not omit, modify, or abbreviate any part of the Debtors name); if any part of the Individual Debtors
name will not fit in line 1b, leave all of item 1 blank, check here 1a. ORGANIZATION'S NAME and provide the Individual Debtor information in item 10 of the Financing Statement Addendum (Form UCC1Ad)
OR
ADDITIONAL NAME(S)/INITIAL(S)
SUFFIX
CITY
STATE
POSTAL CODE
COUNTRY
2. DEBTOR'S NAME: Provide only one Debtor name (2a or 2b) (use exact, full name; do not omit, modify, or abbreviate any part of the Debtors name); if any part of the Individual Debtors
name will not fit in line 2b, leave all of item 2 blank, check here 2a. ORGANIZATION'S NAME and provide the Individual Debtor information in item 10 of the Financing Statement Addendum (Form UCC1Ad)
OR
ADDITIONAL NAME(S)/INITIAL(S)
SUFFIX
CITY
STATE
POSTAL CODE
COUNTRY
3. SECURED PARTY'S NAME (or NAME of ASSIGNEE of ASSIGNOR SECURED PARTY): Provide only one Secured Party name (3a or 3b)
3a. ORGANIZATION'S NAME
OR
ADDITIONAL NAME(S)/INITIAL(S)
SUFFIX
CITY
STATE
POSTAL CODE
COUNTRY
5. Check only if applicable and check only one box: Collateral is 6a. Check only if applicable and check only one box:
Public-Finance Transaction
Manufactured-Home Transaction
SOUTH CAROLINA SECRETARY OF STATE'S OFFICE, 1205 Pendleton Street, Suite 525, Columbia, SC 29201
7/1/2013
Instructions for UCC Financing Statements (UCC-1, UCC-1AD, UCC-3, UCC-3AD, UCC-5, and UCC-11) Failure to follow all instructions may result in the rejection of your filing
1. You must type or laser print this form. 2. You must use the current forms made available through our website. 3. Individual payment must accompany each filing. We are not able to use one check for multiple filings. 4. To receive an acknowledgement* of your filing you must complete the Send Acknowledgement To section on the filing form and either: a. For email acknowledgement: Submit a completed Filing Submission form with each document listing your email address, or b. For mailed acknowledgement: Enclose a self-addressed stamped envelope. * An acknowledgement of your filing is not a copy of your filing. Customers may request a copy of a filing by using the UCC-11 form or by performing a search through the online system. All online filers will receive an email acknowledgement copy of their actual filing. 5. Send completed documents with the filing submission form and all applicable fees to:
SC Secretary of States Office -UCC Division 1205 Pendleton Street, Suite 525 Columbia, SC 29201
Please fill in the form very carefully; mistakes may have important legal consequences. If you have questions, consult your attorney. The 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. Please do not put your Social Security number on the form - UCC filings are public records.
1a. Organization Debtor Name . Organization Name means the name of an entity that is not a natural person. A sole proprietorship is not an organization, even if the individual proprietor does business under a trade name. If Debtor is a registered organization (e.g., corporation, limited partnership, limited liability company), it is advisable to examine Debtors current filed public organic records to determine Debtor's correct name. Trade name is insufficient. If a corporate ending (e.g., corporation, limited partnership, limited liability company) is part of the Debtors name, it must be included. Do not use words that are not part of the Debtors name. 1b. Individual Debtor Name. Individual Name means the name of a natural person; this includes the name of an individual doing business as a sole proprietorship, whether or not operating under a trade name. The term includes the name of a decedent where collateral is being administered by a personal representative of the decedent. The term does not include the name of an entity, even if it contains, as part of the entitys name, the name of an individual. Prefixes (e.g., Mr., Mrs., Ms.) and titles (e.g., M.D.) are generally not part of an individual name. Indications of lineage (e.g., Jr., Sr., III) generally are not part of the individuals name, but may be entered in the Suffix box. Enter individual Debtors surname (family name) in Individuals Surname box, first personal name in First Personal Name box, and all additional names in Additional Name(s)/Initial(s) box. If a Debtors name consists of only a single word, enter that word in Individuals Surname box and leave other boxes blank. For both organization and individual Debtors. Do not use Debtors trade name, DBA, AKA, FKA, division name, etc. in place of or combined with Debtors correct name; filer may add such other names as additional Debtors if desired (but this is neither required nor recommended). 1c. Enter a mailing address for the Debtor named in item 1a or 1b. 2. 3. Additional Debtors name. If an additional Debtor is included, complete item 2, determined and formatted per Instruction 1. For additional Debtors, attach Addendum (Form UCC1Ad) and follow Instruction 1 for determining and formatting additional names. Secured Partys name. Enter name and mailing address for Secured Party or Assignee who will be the Secured Party of record. For additional Secured Parties, attach Addendum (Form UCC1Ad). If there has been a full assignment of the initial Secured Partys right to be Secured Party of record before filing this form, either (1) enter Assignor Secured Partys name and mailing address in item 3 of this form and file an Amendment (Form UCC3) [see item 5 of that form]; or (2) enter Assignees name and mailing address in item 3 of this form and, if desired, also attach Addendum (Form UCC1Ad) giving Assignor Secured Partys name and mailing address in item 11. Collateral. Use item 4 to indicate the collateral covered by this financing statement. If space in item 4 is insufficient, continue the collateral description in item 12 of the Addendum (Form UCC1Ad) or attach additional page(s) and incorporate by reference in item 12 (e.g. , See Exhibit A). Do not include social security numbers or other personally identifiable information.
4.
Note: If this financing st atement covers timber to be cut, covers as-extracted collateral, and/or is filed as a fixture filing, attach Addendum (Form UCC1Ad) and complete the required information in items 13, 14, 15, and 16. 5. If collateral is held in a trust or being administered by a decedents personal representative, check the appropriate box initem 5. If more than one Debtor has an interest in the described collateral and the check box does not apply to the interest of all Debtors, the filer should consider filing a separate Financing Statement (Form UCC1) for each Debtor.
6a. If this financing statement relates to a Public-Finance Transaction, Manufactured-Home Transaction, or a Debtor is a Transmitting Utility, check the appropriate box in item 6a. If a Debtor is a Transmitting Utility and the initial financing statement is filed in connection with a Public-Finance Transaction or Manufactured-Home Transaction, check only that a Debtor is a Transmitting Utility. 6b. If this is an Agricultural Lien (as defined in applicable states enactment of the Uniform Commercial Code) or if this is not a UCC security interest filing (e.g., a tax lien, judgment lien, etc.), check the appropriate box in item 6b and attach any other items required under other law. 7. Alternative Designation. If filer desires (at filer's option) to use the designations lessee and lessor , consignee and consignor, seller and buyer (such as in the case of the sale of a payment intangible, promissory note, account or chattel paper), bailee and bailor, or licensee and licensor instead of Debtor and Secured Party, check the appropriate box in item 7. Optional Filer Reference Data. This item is optional and is for filer's use only. For filer's convenience of reference, filer may enter in item 8 any identifying information that filer may find useful. Do not include social security numbers or other personally identifiable information.
8.