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COLORADO UCC FINANCING STATEMENT <br />Filing Fee: $18 <br />Follow Instructions Carefully <br />NAME 6 PHONE OF CON7ACT (optlonal) <br />SEND ACKNOWLEDGMENT T0: (Name and Address) <br />� Colorado Water Conservation Board <br />Attn: Water Supply Planning & Finance <br />1580 Logan Street, Suite 600 <br />Denver, CO 80203 <br />[ <br />l <br />1. DEBTOR'S EXACT FULL LEGAL NAME - insert oniy one debtor name (1a or ib) - do not abbreviate or combine names <br />ia. ORGANIZATION'S NAME <br />oR LAKE HENRY RESERVOIR COMPANY <br />1b. INDIVIDUAL'S LAST NAME FIRST NAME <br />ic. MAILING ADDRESS <br />P.O. BOX 8 <br />INFO RE ie. NPE OF ORGANIZATION <br />VIZATION D N C <br />2. ADDITIONAL DEBTOR'S EXACT FULL LEGA NAME - inse <br />2a. ORGANI7ATION'S NAME <br />OR <br />2b. INDIVIDUAL'S IAST NAME <br />2c. MAILING ADDRESS <br />ADD'L INFO RE <br />OR6ANIZATION <br />ORDWAY <br />f. JURISDICTION OF ORGANIZATION <br />CO <br />or 2b) - do not abbreviate or combirre names <br />FIRST NAME <br />TATE POSTALCODE COUNTRY <br />CO 81063 USA <br />tg. ORGANIZATIONAL ID#, if any <br />C01 9871 1 1 7874 �NONE <br />MIDDLE NAME <br />CODE <br />TYPE OF ORGANIZATION �2f. JURISDICTION OF ORGANIZATION <br />3. SECURED PARTV'S NAME (or NAME of TOTAL ASSIGNEE of ASSIGNOR SIP) - insert only one secured parry name (3a or 3b) <br />3a. ORGANIIATION'S NAME <br />oR State of Colorado - Colorado Water Conservation Board <br />3b. INDIVIDUAL'S LAST NAME FIRST NAME <br />3c. MAILING ADDRESS <br />1580 Logan Street, Suite 600 <br />4. This FINANCIN� STATEMENT covers the foibwing collateral: <br />Denver <br />ORGANIZATIONAL ID #, H any <br />NAME <br />TATE POSTALCODE COUNTRl <br />CO 80203 USA <br />� NONE <br />SECURED PARTY'S REVENUES PLEDGED TO REPAY LOAN OF $147,701.10 IN ACCORDANCE <br />WITH LOAN CONTRACT NO. C150098, AS AMENDED, AND PROMISSORY NOTE, DATED <br />JULY 27, 2005. <br />5. ALTERNATIYE DESIGNATION (if spp6cebb�: ❑ LESSEE/LESSOR ❑ CONSIGNEFJCONSIGNOR ❑ BAILEE/BAILOR ❑ SELLER/BUYER ❑ AG LIEN ❑ NON-UCC FILING <br />6. This FINANCING STATEMENT is to be filed (for record) in the REAL <br />ESTATE RECORDS <br />8. OPTIONAL FILER REFERENCE DATA <br />Loan Contract No. C150098 <br />,:'e i'_ ��:ljfil f._ L�7 <br />�;, _ ;I? <br />_..__,: ��F°ir ��� °_�r��� <br />._. �_. 'Csl+:1 i��=�5��1 <br />ABO VE SPACF FOR FILING OFFICE USE ONLY <br />NAME <br />NATIONAL UCC FINANCING STATEMENT (FORM UCCi) - COLORADO (REV 7I18Y100n <br />