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COLORADO UCC FINANCING STATEMENT <br />Filing Fee: $15 <br />Follow Instructions (front and back) Carefully <br />A. NAME & PHONE OF CONTACT (optional) <br />Steve Biondo 303 - 866 -3495 <br />B. SEND ACKNOWLEDGMENT TO: (Name and Address) <br />COLORADO WATER CONSERVATION ) <br />BOARD <br />ATTN: WATER SUPPLY PLANNING AND <br />FINANCE <br />1313 SHERMAN STREET, ROOM 721 <br />I DENVER, COLORADO 80203 ) <br />RECEIVE. <br />MAY 0 3 2004 <br />)madln'Watfr Conservation Bw..'o <br />1. DEBTOR'S EXACT FULL LEGAL NAME - insert only one debtor name (1a or 1b) - do not abbreviate or combine names <br />1a. ORGANIZATION'S NAME <br />OR EAST FORK MUTUAL IRRIGATION COMPANY <br />1b. INDIVIDUAL'S LAST NAME IFIRST NAME <br />r._. -+e{. <br />ABOVE SPACE FOR FILING OFFICE USE ONLY <br />NAME <br />1c. MAILING ADDRESS CITY STATE POSTAL CODE COUNTRY <br />P. O. BOX 511 KREMMLING CO 80459 USA <br />ADD'L INFO RE 1e. TYPE OF ORGANIZATION 1f. JURISDICTION OF ORGANIZATION 1g. ORGANIZATIONAL ID#, if any <br />ORGANIZATION DNC c0 C019871330713 NONE <br />DEBTOR <br />2. ADDITIONAL DEBTOR'S EXACT FULL LEGAL NAME - insert only one debtor name (2a or 2b) - do not abbreviate or combine names <br />12a. ORGANIZATION'S NAME <br />OR <br />2b. INDIVIDUAL'S LAST NAME FIRST NAME <br />2c. MAILING ADDRESS CITY <br />ADVL INFO RE 2e. TYPE OF ORGANIZATION 2f. JURISDICTION OF ORGANIZATION <br />ORGANIZATION <br />3. SECURED PARTY'S NAME (or NAME of TOTAL ASSIGNEE of ASSIGNOR SIP) - insert only one secured party name (3a or 3b) <br />3a. ORGANIZATION'S NAME <br />OR STATE OF COLORADO - COLORADO WATER CONSERVATION BOARD <br />3b. INDIVIDUAL'S LAST NAME IFIRST NAME <br />MIDDLE NAME SUFFIX <br />STATE POSTAL CODE COUNTRY <br />2g. ORGANIZATIONAL ID #, if any <br />NONE <br />MIDDLE NAME ISUFFIX <br />3c. MAILING ADDRESS CITY STATE I POSTAL CODE COUNTRY <br />1313 SHERMAN STREET, ROOM 721 DENVER I CO 80203 USA <br />4. This FINANCING STATEMENT covers the following collateral: <br />SECURED PARTY'S REVENUES PLEDGED TO REPAY LOAN OF $259,860.00 IN ACCORDANCE <br />WITH LOAN CONTRACT NO. C150166 AND PROMISSORY NOTE DATED MARCH 1, 2004. <br />5. ALTERNATIVE DESIGNATION IN applicable): ❑ LESSEEILESSOR ❑ CONSIGNEE/CONSIGNOR ❑ BAILEEIBAILOR D SELLERIBUYER ❑ AG LIEN ❑ NON -UCC FILING <br />This FINANCING STATEMENT Is to be filed or record in the REAL 7. Check to REQUEST SEARCH REPORT(S) on Debtor(s) (Optional) <br />ESTATE RECORDS ❑ All Debtors ❑ Debtor 1 M Debtor 2 <br />8. OPTIONAL FILER REFERENCE DATA <br />LOAN CONTRACT NO. C150166 <br />NATIONAL UCC FINANCING STATEMENT (FORM UCC1) -COLORADO (REV 11/15/2001) <br />