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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 />2GG32i 101 i 5 C <br />:t l::i"UU <br /> <br />~:;EC~~ET AR=Of: OF <br />1 o~-oa- 2003 <br /> <br />STATE <br /> <br />15: 3H: 3i3 <br /> <br />ABOVE SPACE FOR FILING OFFICE USE ONLY <br /> <br />1. DEBTOR'S EXACT FULL LEGAl NAME - insert only one debtor name (1a or 1b) - do not abbreviate or combine names <br /> <br />1a. ORGANIZATION'S NAME <br />OR NORTH POUDRE IRRIGATION COMPANY (THE) <br /> <br />1b.INDIVIDUAL'S LAST NAME <br /> <br />FIRST NAME <br /> <br />MIDDLE NAME <br /> <br />SUFFIX <br /> <br />1c. MAILING ADDRESS <br />P.O. BOX 100 <br /> <br />CITY <br />WELLINGTON <br /> <br />STATE POSTAl CODE <br />CO 80549 <br /> <br />COUNTRY <br />USA <br /> <br /> <br />ADD'L INFO RE <br />ORGANIZATION <br />DEBTOR <br /> <br />1e. TYPE OF ORGANIZATION <br /> <br />1f. JURISDICTION OF ORGANIZATION <br /> <br />19. ORGANIZATIONAL 10#, if any <br /> <br />DNe <br /> <br />co <br /> <br />CO 19871033067 0 NONE <br /> <br />2. ADDITIONAl DEBTOR'S EXACT FULL LEGAL NAME - insert only one debtor name (2a or 2b) - 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 />2e. TYPE OF ORGANIZATION <br /> <br />21. JURISDICTION OF ORGANIZATION <br /> <br />2g. ORGANIZATIONAL ID #, ifany <br /> <br />D NONE <br /> <br />3. SECURED PARTY'S NAME (or NAME of TOTAL ASSIGNEE of ASSIGNOR SIP) - insert only one secured party name (3a or 3b) <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 $1,107,000.00 IN <br />ACCORDANCE WITH LOAN CONTRACT NO. C150013 AND PROMISSORY NOTE DATED <br />OCTOBER 1, 2001. <br /> <br />5. AlTERNATIVE DESIGNATION (if applicable): 0 LESSEE/LESSOR 0 CONSIGNEE/CONSIGNOR 0 BAILEElBAILOR 0 SELLER/BUYER 0 AG LIEN 0 NON-UCC FILING <br />6. This FINANCING STATEMENT is to be filed (or record) in the EAL 7. Check to REQUEST SEARCH REPORT(S) on Debtor(s) (Optional) <br />ESTATE RECORDS 0 All Debtors D Debtor 1 LI Debtor 2 <br /> <br />8. OPTIONAL FILER REFERENCE DATA <br />LOAN CONTRACT NO. C150013 <br /> <br />NATIONAL UCC FINANCING STATEMENT (FORM UCC1). COLORADO (REV 11/15/2001) <br />