C150159 Contract

• Contract/PO #: C150159
• Contract/PO #: CT2017-1209
• Contractor Name: Orphan Wells of Wiggins, LLC
• Contract Type: Loan
• Water District: 1
• County: Morgan
• Loan Projects - Doc Type: Contract Documents

UCC FINANCING STATEMENT AMENDMENT
Filing Fee: $18
Follow Instructions Carefully
NAME & PHONE OF CONTACT (optional)
SEND ACKNOWLEDGMENT TO: (Name and Address)
Colorado Water Conservation Board )
Attn: Water Supply Planning & Finance
1580 Logan Street, Suite 750
Denver, CO 80203
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'=ECRETAPY OF STATE
04 -20 -2009 09:11:39
ABOVE SPACE FOR FILING OFFICE USE ONLY
1. Initial Financing Statement Information (Required)
1a. Original Filing Number: 20042044860 C 11b. Original Filing Date: 04/23/0411c If filed prior to January 1, 2000, indicate Original Filing Office:
Termination: Effectiveness of the Financing Stat9ment identified above is terminated with respect to security intarest(s) of the Secured Party authorizing this Termination Statement
,/ on mua ion: Effectiveness of the Financing Statement identified above with respect to security interests) of the Secured Party authorizing this Continuation Statement
is continued for the additional period provided by applicable law.
4. SSignment: Give name of assignee in item 7a or 7b and address of assignee in item 7c; also give name of assignor in item 9.
0. Amendment a n orma on : This Amendment affect Debtor or ured Party of retard. Check only Mn of these two boxes.
Also check one of the following three boxes and provide appropriate information in items 6 and /or 7.
CHANGE name and/or address: Give current record name in item 6a or Bb; also give ❑ DELETE name: Give record name ADD name: Complete Rom 7a or 7b, and also
new name (if name change) in item 7a or 7b and /or new address (d address change) in item 7c. to be deleted in 6a or 6b. item 7c; also complete items 7e-7g (if applicable)
6. CURRENT RECORD INFORMATION:
16a. ORGANIZATION'S NAME
OR ORPHAN WELLS OF WIGGINS, L.L.C.
00000 rDEBTOR 'L INFO RE 7e. TYPE OF ORGANIZATION 7f. JURISDICTION OF ORGANIZATION 7g. ORGANIZATION ID#,'rf any
TION DLLC co CO20031303115
NONE
IIENDMENT (COLLATERAL CHANGE): check only one box.
Describe collateral 0 deleted or added, or give entire l] restated collateral description, or describe collateral0assigned
9. NAME OF SECURED PAR FY OF RECORD AUTHURILING FHISAMENDMEN] (name of assignor, if this is an Assignment). If this is an Amendment authorized by E
Debtor which adds collateral or adds the authorizing Debtor, or if this is a Termination authorized by a Debtor, check here 0and enter name of DEBTOR authorizing this Amendmen
19a. ORGANIZATION'S NAME
OR State of Colorado - Colorado Water Conservation Board
INDIVIDUAL'S LAST NAME IFIRST NAME IMIDDLE NAME
10. OPTIONAL FILER REFERENCE DATA
Loan Contract No. C150159
NATIONAL UCC FINANCING STATEMENT AMENDMENT (FORM UCC3)- COLORADO (REV 7/160107)
I6b. INDIVIDUAL'S LAST NAME
(FIRST NAME
(MIDDLE NAME
(SUFFIX
7. CHANGED (NEM OR ADDED INFORMATION:
OR
7a. ORGANIZATION'S NAME
7b. INDIVIDUAL'S LAST NAME
FIRST NAME
MIDDLE NAME
SUFFIX
7c. MAILING ADDRESS
P.O. BOX 132
CITY
WIGGINS
STATE
CO
IPOSTALCODE
80654
COUNTRY
USA
00000 rDEBTOR 'L INFO RE 7e. TYPE OF ORGANIZATION 7f. JURISDICTION OF ORGANIZATION 7g. ORGANIZATION ID#,'rf any
TION DLLC co CO20031303115
NONE
IIENDMENT (COLLATERAL CHANGE): check only one box.
Describe collateral 0 deleted or added, or give entire l] restated collateral description, or describe collateral0assigned
9. NAME OF SECURED PAR FY OF RECORD AUTHURILING FHISAMENDMEN] (name of assignor, if this is an Assignment). If this is an Amendment authorized by E
Debtor which adds collateral or adds the authorizing Debtor, or if this is a Termination authorized by a Debtor, check here 0and enter name of DEBTOR authorizing this Amendmen
19a. ORGANIZATION'S NAME
OR State of Colorado - Colorado Water Conservation Board
INDIVIDUAL'S LAST NAME IFIRST NAME IMIDDLE NAME
10. OPTIONAL FILER REFERENCE DATA
Loan Contract No. C150159
NATIONAL UCC FINANCING STATEMENT AMENDMENT (FORM UCC3)- COLORADO (REV 7/160107)