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<br />sponsor have the financial capacity to repay any loans made by the CWCB. The <br />following information is needed to assist the CWCB in a preliminary assessment of the <br />applicant's financial capacity. It is also requested that the project sponsor submit with <br />this application copies of the two most recent annual reports, financial statements, <br />corporate reports or other current documentation of financial condition and operations. <br />I. List any existing liability or indebtedness that exceeds one thousand dollars. For <br />example, bank loans, government agency loans, bond issues, accounts payable, etc. <br />Include names and addresses oflenders, amounts, due dates and maturity dates. <br />Attach a separate schedule, if needed. <br /> <br />Remaining <br /> <br />Annual <br /> <br />Maturity <br />Lender Name & Address <br />Date <br /> <br />Amount <br /> <br />Payment <br /> <br />NONE <br /> <br />2. Are any of the above liabilities now in default, or been in default at any time in the <br />past? YES_ NO _X_. If YES, please give detailed explanation. <br /> <br />3. Please provide a summary of all revenues received during the last two fiscal years by <br />category (such as service charges, tap fees, assessments, etc.). <br />Membership dues for 1999 $21.200 <br /> <br />Membership dues for 2000 $15.900 <br /> <br />Water Assessment for 2000 $73.183 <br /> <br />4. Please provide a brief narrative description of sources of funding, in addition to the <br />CWCB, which have been explored for this project (Examples would be Banks, Rural <br />Development, NRCS, Colorado Water Resources and Power Development Authority, <br />Colorado Division of Local Government, etc.). <br />Applicant has been unable to locate any such financing. <br /> <br />5. What collateral will you be offering for this loan? Possibilities include the project <br />itself, pledge of revenues, real estate, water rights. <br />The shares/water rights that are purchased will be used as collateral. <br /> <br /> <br />ameLaura J/Woods <br />V <br />