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Home My WebLink About01-2481 PARTIES '~ebtnr ,amc (last name first if individual) and mailing address: Perry, Frank 4801 Derry Street Suite 120 Harrisburg, PA 17111 Debtor name (last name first if individual) and mailing address: Debtor name (last name first if individual) and mailing address: FINANCING STATEMENT Uniform Commercial Code Form UCC-! IMPORTANT..Please read instructions an reverse side of page 4 before completing Filing No. (stamped by filing officer): Date, Time, Eiling Office (stamped by filing officer): This Financing Statement is presented for filing pursuant to the Uniform Commercial Code. and is to be filed with the (check applicable b~) [] Secretary of the Commo/q~ealth~( / ~/ (~ Prothonotary of L. ~','W~tC~¢ County. [] real estate records o[ County, lb Number of Additional Sheets (if any): Seoured Party(les) names(s) (last name first if individual) and address Optional Special Identification (Max. fO characters): for security interest information: COLLATERAL Northland Capital Financial Ser~rices, LT_/J Identify colloteral by item and/or type: 3339 W St Germain Street ~201 St Cloud, MN 56301 2 Assignee(s) of Secured ~rty name(s) (last name fi~t if individual) and address for security interest information: 2a Special Types of Parties (check if applicable): [] The terms "Debtor" and "Secured Party" mean "Lessee" and "Lessor," respectively. , c~'he terms "Debtor" and "Secured Party" mean "Consignee" and oosignor," respectively. [] Debtor is a Transmitting Utility. 3 SECURED PARTY SIGNATURE(S) I'his statement is filed with only the Secured Party's signature to perfect ~ security interest in collateral (check applicable box(es))- k [] acquired after a change of name, identity or corporate structure of the Debtor. . [] os to which the filing has lapsed . already subject to a security interest in another county iR Pennsylvania- [~when the collateral was moved to this county this county. already subject to a security interest in another jurisdiction- ~when the collateral was moved to Pennsylvania. [~when the Debtor's location was moved to Pennsylvania. [] which is proceeds of the collateral described in block 9, io which a security interest was previously perfected (also describe pruceeds in la block 9, if purchased with cash proceeds and nut adequately described on the original financing statement). SecursJ[~°ar t y Signature(s) cked~ ~,NDARO FORM - FORM UCC 1 (7 e9) )proved by Secretary of Commonwealth of Pennsvlvama See Attached Equipment Schedule "A~ Lease#1382-12 [] (check only if desired} Products of the collateral are also covered 9 Ideoti~y related real estate, if applicable: The collateral is, or includes (check appropriate box(es})- h. [] goods which are ur are to become fixtures on - c. [] minerals or the like {indud~ng oil and gas) as extracted on d. [] accounts resulting from the sale of minerals er the ~[ke (including oil and gas) at the wellhead or the following real estate: Street Address: Described at: Book of (check one) [] Deeds [] Mortgages. at Page(s) for County. Uniform Parcel Identifier [] Described on Additional Sheet. Name of record owner (required only if no Debtor has an interest of record): DEBTOR SIGNATURE(S) Debtor Signature(s): 10 lb 11 RETURN RECEIPT TO: Northland Capital Financial Services,LLC 3339 W sT Germain Street ~201 St Cloud, MN 56301 NOTE - This page will not be returned by the Department of State. ,,, ,~,~c~ sT. NORTHLAND CAPITAL FINANCIAL SERVICES, LLC EQUIPMENT SCHEDULE 122 Coin Operated Air & Vacuum Machines Located in Virgina HEATHER LAKE 99 T DE M LL LNg, _HA_.~PT__O~VA .... 1_888-18__74( CHESAPEAKE BAY JEFFERSON POINT THE HARBOURS WATERMAN'S TEXACO TABB TEXACO IVY FARMS Q - MARKETS DUK'S AMOCO SEIBERT'S 14 SEIBERT'S 26 550 ST MICHAELS WAY, NPNS, VA 128 JEFFERSON PT LN, NPNS, VA 501 E. WATERS EDGE, NPNS, VA 638 RIVER BEND CT, NPNS, VA 600 HAMPTON HWY, TABB, VA 10732 JEFFERSON AVE, NPNS, VA 5737 HULL ST, RICHMOND. VA 1880 HULL ST, RICHMOND. VA 805 S. 15TH ST HOPEWELL,VA 888-1875 21701 21704 16057 16231 16030 17027 5056 16993 5055 16973 2016 WASHINGTON, PETERSBG,VA SE/BERT'S 27 23822 AIRPORT RD, PETERSBG,VA 3077 SEIBERT'S 41 1420 BROAD ST RD, OILVILLE, VA RIDGEFIELD TEXACO 10910 RIDGEFiELD PKWY,RICH, VA GLEN ALLEN TEXACOIRT33W, GLEN ,ALLEN, VA CHESTNUT STORE 11800 IVY MILL RD, CHESTERFD, VA FAST & EASY MART 3400 JEFFERSON AVE, NPNS, VA KILN CREEK GROCY 1401 KILN CREEK PKY, NPNS, VA 16891 14339 17007 38967 16267 18059 16941 RACETRAC & CROWN SPECIFIC LOCATION ADDRESSES LISTED ON ATTACHED SHEETS. RACETRAC 264 W. MERCURY (A_IR) 21453 ~ -- ~ _R_ACETRAC 288 ]HOPEWELL (AIR) 21469 ~'HULL ST RD (AIR) i 21474 RACETRAC 295 Initial~ 3339 West St. Germain Street · Suite 201 · St. Cloud, Minnesota 56301 320-252-2122 · 1-800-471-2122 · Fax 320~252-2111 NORTHLAND CAPITAL FINANCIAL SERVICES, LLC EQUIPMENT SCHEDULE "A" (Cont'd) RACETRAC 329 RACETRAC 420 RACETRAC 422 RACETRAC 446 RACETRAC 458 RACETRAC 617 RACETRAC 645 RACETRAC 653 J_~Z% D3_V_~ s_ (VAC) "TEMP.CLOSED" ;PETERSBURG (AIR) WARWICK (AIR) O/AC) ISLE OF WIGHT (AIR) MIDLOTH AN (AIR) (VAC) YORKTOWN (AIR) OYSTER PT (AIR) N. ARMISTBAD (AIR) 16080L 21473! 21464 20036 18107 21468 20075 21452 CROWN 13 PEMBROKE (AIR) 16974 ...... (VAC) ..... ! ¢_4~L WILMBG RD (AIR__) "(VAt) I JEFF DAVIS (AIR) (VAC#1) t" (VAC#2) 27TH ST (AIR) "(VAt) LAKESIDE ('AIR) (VAC#'~) (VAC#2) LABURNUM (AIR) CROWN 14 CROWN 15 CROWN 17 CROWN 18 CROWN 21 168881 16909J 16901 ~ 16968l 16990i 46068 16098~ 168671 Initial~~ 3339WestStGermain Street. Suite 201 · St. Cloud, Minnesota 56301 320-252-2122 · 1-800-471~2122 · Fax 320-252-2111 NORTHLAND CAPITAL FINANCIAL SERVICES, LLC EQUIP~qT SCHEDULE "A" (Cont'd) i (¥AC) 16o53 CROWN 22 {JEFFERSON (AIR) 16087 CROWN 23 . WILMBG, VA (AIR) "(VAC#1) CROWN 29 ,, 0./AC#2) CROWN 25 W. BROAD ST (AIR) ...... (VAC) CROWN 28 EASTRIDGE (AIR) " (VAC) DENB!GH (AIR) (VAC#1) .......................... (VAC_.#2? CROWN 38 MIOLOTHIAN (AIR) (VAC#I} CROWN 39 CROWN 41 CROWN 43 CROWN 47 (VAC~2) TOODS L~ (AIR) (VAC#I) (VAC#2) WARWICK (AIR) (VAC#I) (VAC#2) E. BELT (AIR) OJAC#1) (VAC#2) COL HEIGHTS (AIR) 16088 16944 1694 16890 16269 16013 18152 16075 16948 16073 16882! 16881 16076 18273 16058 16089 16099 16100 16065 16883 16059 19591 Initial~~ 3339 West St. Germain Street · Suite 201 · St. Cloud, Minnesota 56301 320-252-2122 · 1-800-471-2122 · Fax 320-252-2111 NORTHLAND CAPITAL FINANCIAL SERVICES, LLC EQUIPMENT SCHEDULE "A" (Cont ' d) CROWN 48 CROWN 49 CROWN 53 CROWN 56 CROWN 58 CROWN 60 CROWN 61 CROWN 62 CROWN 65 CROWN 66 CROWN 502 (VAC) i 16O55 PETERSBURG (AIR) 16090 O/AC) 16949 IEFFERSON (AIR) 16969 (VAC) 16972 JEFFERSON (AIR) 16091 (VAC) 18043 MECHNVILLE (AIR) 16366 O/AC#l) 18303 (VAC#2) 18298 Or'AC#3) 18325 .................. (VAC:~) ..............16326 (VAC#5) CHESTER (AIR) O/AC) IYORKTOVVN (AIR) O/AC) SPRING OAK (AIR) "O/AC) WARWICK (N) (AIR) "O/AC) WARWICK (S) (AIR) POCAHONTAS (AIR) O/AC) JEFF DAVIS (AIR) 18327 16869 16618 16066 19048 19672 19688 19783 16054 15408 15823 19049 16067 Initial~ 3339We~ St. Germain Street. Suite 201 · St. Cloud, Minnesota 56301 320-252-2122 · 1-800-471-2122 · Fax 320-252-2111 NORTHLAND CAPITAL FINANCIAL SERVICES, LLC EQUIPMENT SCHEDULE "A" (Cont'd) CROWN 504 CROWN 511 CROWN 514 CROWN 515 CROWN 518 CROWN 521 CROWN 523 CROWN 54O ......... (TAg) ...........1_6937_.. STAPLES MILL (AIR) 19588 (VAC) 16947 COL HGTS (AIRNAC) 17006 GRAFT(ITS) AIR/VAC 169841 GLOSTR-17N (AIR) 19589 (VAC) 16907 JEFFERSON (AIR) 19368 (VAC) 17008 JEFF DAVIS (AIR) 19590 (VAC) 16985 ~_U_L.L__ST~.R 0..(A_!R) ........... CLY MOR BLVD (AIR) 16031 (VAC) TOTALS = 112 INDEPENDENT = 21 RACETRAC = 14 ICROWN = 77 16943 MILITARY ( AAFES ) CONTRACT RENEWED WITH EXPRESS AIR, INC. (ASSET,S TO BE S, OLD TO P~RRI-AIR?_ FORT MYER, VA FORT McNAIR, DC WRAMC ANNEX, MD SERVICE STATION - VAC #1 - VAC #2 SERVICE STATION - VAC SERVICE STATION - VAC 18593 18589 16880 16936 Initial~' 3339WestSt. Germain Street. Suite 201 · St.C]oud, Minnesota 56301 320-252-2122 · 1-800-471-2122 · Fax 320-252-2111 NORTHLAND CAPITAL FINANCIAL SERVICES, LLC EQUIPMENT SCHEDULE "A" ( Cont ' d) FORT EUSTIS, VA LANGLEY AFB, VA BETHAL MANOR, VA FORT MONROE, VA SERVICE STATION - VAC #1 - VAC #2 SERVICE STATION - VAC #1 - VAC #2 SERVICE STATION - VAC SERVICE STATION - VAC TOTAL = 10 IFINAL TOTALS = 122 19111 19107 19110 19114 19108 19098 Lessor: Northland Capital Financial Services Signature Date Lessee: Frank Perry dba Perri Air Equipment Company Da~e 3339WestSt. Germain Street, Suite 201 · St. Cloud, Minnesota 56301 320-252-2122 · 1-800-471-2122 · Fax 320-252-2111