State Of Louisiana Uniform Commercial Code - Financing Statement

STATE OF LOUISIANA

UNIFORM COMMERCIAL CODE - FINANCING STATEMENT - UCC-1

IMPORTANT - Read Instructions on back before filling out form

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

1b, INDIVIDUAL'S LAST NAME (AND TITLE OF LINEAGE [e.g. Jr., Sr., III], if applicabl

MIDDLE NAME

FIRST NAME

JONES

RON

POSTAL CODE

1c. MAILING ADDRESS

CITY

STATE

COUNTRY

USA

1015 EAST BOBBY COURT

37072-

MILLERSVILLE

1d. TAX ID #: SSN OR EIN

ADD'L INFO RE

1e. TYPE OF

1f. JURISDICTION

1g. ORGANIZATIONAL ID #, if any

ORGANIZATION

OF ORGANIZATION

545-45-4544

None

DEBTOR:

2. ADDITIONAL DEBTOR'S EXACT FULL LEGAL NAME - insert only one debtor name (2a or 1b) - do not abbreviate or combine names

2a. ORGANIZATION'S NAME

2b, INDIVIDUAL'S LAST NAME (AND TITLE OF LINEAGE [e.g. Jr., Sr., III], if applicabl

MIDDLE NAME

FIRST NAME

POSTAL CODE

2c. MAILING ADDRESS

CITY

STATE

COUNTRY

USA

2d. TAX ID #: SSN OR EIN

ADD'L INFO RE

2e. TYPE OF

2f. JURISDICTION

2g. ORGANIZATIONAL ID #, if any

ORGANIZATION

OF ORGANIZATION

None

DEBTOR:

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

Alpha Omega Consulting Group, Inc.

Fed ID# 76-0735476

3b, INDIVIDUAL'S LAST NAME (AND TITLE OF LINEAGE [e.g. Jr., Sr., III], if applicabl

MIDDLE NAME

FIRST NAME

POSTAL CODE

3c. MAILING ADDRESS

CITY

STATE

COUNTRY

USA

716 Vauxhall Drive

Nashville

37221

4. This FINANCING STATEMENT covers the following collateral:

Year

Color

Make

Model

Body Style

VIN

1992

blue

buick

century

32132132132132112

5a. Check if applicable and attach legal description of real property:

Fixture filing

As-extracted collater

Standing tmbe

constituting goods

The debtor(s) do not have an interest of record in the real property (Enter name of an owner of recor

5b. Owner of the property (if other than named debtor)

10. The below space is for filing Office Use Only

6a. Check only if applicabel and check only one box.

Debtor is a Transmitting Utility. Filing is Effective Until Terminat

Filed in connection with a public finance transaction. Filing is Effective for 30

6b. Check only if applicabel and check only one box.

Debtor is a

Trust or

Trustee acting with respect to property h

in trust or

Decedent's Estat

7. ALTERNATIVE DESIGNATION (if applicable):

LESSEE/LESSOR

CONSIGNEE/CONSIGNOR

BAILEE/BAILOR

SELLER/BUYER

AG. LIEN

NON-UCC FILING

8. Name Phone Number to contact filer

9. Send Acknowledgement To: (Name Address)

Alpha Omega Consulting Group, Inc.

Mike Burch

716 Vauxhall Drive

11.

CHECK TO REQUEST SEARCH REPORTS ON DEBTOR(S

Nashville, TN 37221

(ADDITIONAL FEE REQUIRED)

ALL DEBTORS

DEBTOR 1

DEBTOR 2

(615) 662-9537

LOUISIANA APPROVED FORM UCC-1 SECRETARY OF STATE W. FOX MCKEITHEN (REV. 7-200

State Of Louisiana Uniform Commercial Code - Financing Statement - Ucc-1

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