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0140
TFi~S FINANClP1G STATEMEIiT is preteeeed to o fil~eg oifice~ fo~ filieg pwwy~t ro Nw Ueifonw Caww~rcial Cod~: Motu~ity-do~e tif o~~!: > Debrorls) ilou Nome firafl and oddress(es) I. Stcw~Q IMtp{NfJ Pnd O~rffs(MI iw F~Ivy ONica' iDw. tt~~.~wr. o.d ?.~y Ore ~ ~'LI'~~ CF FLiOR'IIaA~ II~. AND ~+4~RIE A. WFBER ?ll~IUR P. ~YAL F~L~e a~~ +_tCue~D~fi 2527 Olc~eec.~~oi~ee ~d aT. pueit,C~ui~r i~. 33~~23~ _.,c: - -~a:~~us F'ort Pieroe, FtA 33450 " ' c c~= c v-t ~~tt r.Fr- _ ;~-:.f ~ ihis fL+ancinq s~ate~w~nl co~ns rM (ottari^0 ~yPes (o~ ifaws) oi P~~h~~ ~ ~ 1. l, 990 shares o~ the c.apital st~ock of FI~.~iOD oF' FIA~, arid all suk~sequently issued sUock thereof . ~ 2 Fleven (11) mixir~g foYntul.,as for pro8ucts ~ld W~~r 11DG . Ass:qnk;s) of Secv~d /o.fr and Add.esi.~s: ; QL L~ ~ ~ ' i ~~l~~~. ` 6. ; Me rcrwi pvry<~l. ~ior ~q.a.~~t+~ appav+ b~b~. roh~ eiwr eAe ya~ps rq•.~d br CAaprr ]Ol. ibr.do SrarW~s. i oey. Fo+~ !ww v4~cd u dr pa~.sory nfrw~+a wca~d 1w~by. o~d ~J be pbc~d w a~y odd~~owal owd reJar ur.riwa.ve ~Aae w~or be w rc..ed. F Th~s s~ot~aNnt :s fihd withou~ tM dt6ta's siynotvre a p~rf~ct o sacuriry int~rest in cotlotkol. iCMck ~ H so} ~ Alreody svbjKf b o uc~rily inl«qf in anolh~r jvrisdiction wMtn it ~wos brwqhf inte this stoN. wl~:ch is proce~ds of ~Ik er:p:~ cdioMsal d~urib~d obow in wF~ich a sKVriry inM~s/ wos p~ri~ct~d: eck ~ i( co.ered: ~?rocKds of Coltoferol we olw co~~nd. ? hoduces o1 GolbtNOf on olw corh~d. No. af odd;fionol Sh~NS pesent~d: ° F~I~d with: = C i `T ~ ~ S A~iJR P. $YAL ' "r~~iQ~ OF PTIJRIOA, • ~ aY ~ ~ . Siqnowr ~,sl o Oebtw A•i~l~q~ohn~{s! of S.cw~d ?o.~r~~e,i 1 P.fY . . STANDA D FORM - fORM UCC-1 ~