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<br />COLORADO DCC FINANCING STATEMENT <br />Filing Fee: $15 <br />Follow Instructions (front and back) Carefully <br /> <br />A. NAME & PHONE OF CONTACT (optional) <br />Steve Biondo 303-866-3495 <br /> <br />B. SEND ACKNOWLEDGMENT TO: (Name and Address) <br /> <br />COLORADO WATER CONSERVATION <br />BOARD <br />ATTN: WATER SUPPLY PLANNING AND <br />FINANCE <br />1313 SHERMAN STREET, ROOM 721 <br />DENVER, COLORADO 80203 <br /> <br />20042i 1353;3 <br />~. 15~ 00 <br />SECRETARY OF STATE <br /> <br />,-. <br />'.... <br /> <br />10-15-2004 15;34:52 <br /> <br />ABOVE SPACE FOR FILING OFFICE USE ONLY <br /> <br />1 DEBTOR'S EXACT FULL LEGAL NAME - insert onIY.Q!1~debtor name (1a or 1b) - do not abbre\iate or combine names <br /> <br />1a. ORGANIZATION'S NAME <br />LOWER ARKANSAS WATER MANAGEMENT ASSOCIATION <br /> <br />OR <br /> <br />1 b. INDIVIDUAL'S LAST NAME <br /> <br />FIRST NAME <br /> <br />MIDDLE NAME <br /> <br />SUFFIX <br /> <br />1c. MAILING ADDRESS <br />P. O. BOX 1161 <br /> <br />CITY <br />LAMAR <br /> <br />STATE <br />CO <br /> <br />POSTAL CODE <br />81052 <br /> <br />COUNTRY <br />USA <br /> <br /> <br />1 e. TYPE OF ORGANIZATION <br /> <br />11. JURISDICTION OF ORGANIZATION <br /> <br />19. ORGANIZATIONAL 10#, if any <br /> <br />ONe <br /> <br />co <br /> <br />C019901061002 ONONE <br /> <br />2. ADDITIONAL DEBTOR'S EXACT FULL EGAL NAME - insert only Q!!g debtor name (2a 0I2b) - do not abbreviate or combine names <br />2a. ORGANIZATION'S NAME <br /> <br />OR <br /> <br />2b. INDIVIDUAL'S LAST NAME <br /> <br />FIRST NAME <br /> <br />MIDDLE NAME <br /> <br />SUFFIX <br /> <br />2c. MAILING ADDRESS <br /> <br />CITY <br /> <br />STATE POSTAL CODE <br /> <br />COUNTRY <br /> <br /> <br />ADD'L INFO RE <br />ORGANIZATION <br />DEBTOR <br /> <br />3. SECURED PARTY'S NAME (or NAME ofTOTAL ASSIGNEE of ASSIGNOR SIP) - insert only one secured party name (3a 0I3b) <br /> <br />2e. TYPE OF ORGANIZATION <br /> <br />21. JURISDICTION OF ORGANIZATION <br /> <br />29. ORGANIZATIONAL 10 #, if any <br /> <br />o NONE <br /> <br /> 3a. ORGANIZATION'S NAME <br />OR STATE OF COLORADO - COLORADO WATER CONSERVATION BOARD <br /> 3b. INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE NAME SUFFIX <br />3c. MAILING ADDRESS CITY STATE I POSTAL CODE COUNTRY <br /> 1313 SHERMAN STREET, ROOM 721 DENVER co 80203 USA <br /> <br />4. This FINANCING STATEMENT covers the following collateral: <br /> <br />SECURED PARTY'S REVENUES PLEDGED TO REPAY LOAN OF $30,624.49 IN ACCORDANCE <br />WITH LOAN CONTRACT NO. C153678 AND PROMISSORY NOTE DATED APRIL 1,2004. <br /> <br />5. AL TERNA TIVE DESIGNATION (if applicable): 0 LESSEElLESSOR 0 CONSIGNEE/CONSIGNOR 0 BAILEEIBAILOR 0 SELLER/BUYER 0 AG LIEN 0 NON-UCC FILING <br />6. This FINANCING STATEMENT is to be filed (for record In the REAL 7. Check to REQUEST SEARCH REPORT(S) on Debtor(s) (Optional) <br />ESTATE RECORDS 0 All Debtors 0 Debtor 1 [] Debtor 2 <br /> <br />8. OPTIONAL FILER REFERENCE DATA <br />LOAN CONTRACT NO. C153678, AMENDMENT NO.1 <br /> <br />NATIONAL UCC FINANCING 5T A TEMENT (FORM UCC 1) - COLORADO (REV 11/15/2001) <br />