New York State UCC FINANCING STATEMENT

ELECTRONIC UCC FINANCING STATEMENT(Required items are in red and marked by a trailing "*")

A. Name & Phone of Contact at Filer (Optional):

B. Filer Information:

Organization's Name

OR Individual's Last Name	First Name	Middle Name	Suffix	Email Address *

Mailing Address	City	State	Postal Code	Country

Card No. * (Amex/MC/Visa)	Exp. Month *		Year *	*Card Zip Code (9 Characters)**

*DEBTOR1 -**	Enter the debtor's exact full legal name. Use either line 1a or 1b, but not both. Do not abbreviate or combine names. The mailing ADDRESS and CITY are required. If an organization name is entered in 1a then 1d and 1e must be completed.

1a. Organization's Name *

OR 1b. Individual's Last Name *	First Name	Middle Name	Suffix

1c. Mailing Address *	City *	State*	Postal Code	Country

1d. Type of organization	1e. Jurisdiction of organization	1f. Organization ID#, if any	No Org ID#

DEBTOR2 (If any)	Enter the debtor's exact full legal name. Use either line 2a or 2b, but not both. Do not abbreviate or combine names. The mailing ADDRESS and CITY are required. If an organization name is entered in 2a then 2d and 2e must be completed.

2a. Organization's Name *

OR 2b. Individual's Last Name *	First Name	Middle Name	Suffix

2c. Mailing Address *	City *	State*	Postal Code	Country

2d. Type of organization	2e. Jurisdiction of organization	2f. Organization ID#, if any	No Org ID#

DEBTOR3 (If any)	Enter the debtor's exact full legal name. Use either line 3a or 3b, but not both. Do not abbreviate or combine names. The mailing ADDRESS and CITY are required. If an organization name is entered in 3a, then 3d and 3e must be completed.

3a. Organization's Name *

OR 3b. Individual's Last Name *	First Name	Middle Name	Suffix

3c. Mailing Address *	City *	State*	Postal Code	Country

3d. Type of organization	3e. Jurisdiction of organization	3f. Organization ID#, if any	No Org ID#

SECURED PARTY'S NAME * (or NAME of TOTAL ASSIGNEE of ASSIGNOR S/P) - Insert only one secured party name (4a or 4b).

4a. Organization's Name *

OR 4b. Individual's Last Name *	First Name	Middle Name	Suffix

4c. Mailing Address *	City *	State*	Postal Code	Country

5. Additional Secured Parties or Assignor S/P'S NAME - Insert only one name (5a or 5b)

5a. Organization's Name *

OR 5b. Individual's Last Name *	First Name	Middle Name	Suffix

5c. Mailing Address *	City *	State*	Postal Code	Country

This Financing Statement covers the following collateral (Up to 4000 characters may be entered) *

ALTERNATIVE DESIGNATION - If you wish to use alternate terms for the debtor and secured party, check the appropriate box below.

6. ALTERNATIVE DESIGNATION (If applicable) Lessee / Lessor Consignee / Consignor Bailee / Bailor Seller / Buyer N/A

7. Check only if applicable. Debtor is a Trust or Trustee acting with respect to property held in trust or Decendent's Estate or N/A

8. Check only if applicable. Transmitting Utility Manufactured Home - effective 30 years Public Finance - effective 30 years Agricultural Lien Non-UCCFiling N/A

9. Optional Filer Reference Data

To prevent multiple charges, please click the "FILE" button only once and wait for acknowledgement.