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COLORADO UCC FINANCING STATEMENT <br />Filing Fee: $15 <br />Follow Instructions (front and back) Carefully <br />A. NAME 8 PHONE OF CONTACT (optional) <br />Steve Biondo 303-866-3495 <br />B. SEND ACKNOWLEDGMENT T0: (Name and Address} <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 />~ ',~i?i i~i~_tf; ~' =~`~? ". <br />~='_~: T~~:`i' 's; ~~;!~~F <br />-----~'~;,;~ __ '_'r,:~: <br />ABOVE SPACE FOR FILING OFFICE USE ONLY <br />1. DEBTOR'S EXACT FULL LEGAL NAME - insert only ona debtor name (1a or 1b) - do not abbreviate a combine names <br />1a. ORGANIZATION'S NAME <br />OR <br />1b. INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE NAME SUFFIX <br />EVANS C. R. <br />1c. MAILING ADDRESS CITY STATE POSTAL CODE COUNTRY <br />231 NYBERG ROAD PUEBLO co etioos usA <br />ADD'L INFO RE 1e. TYPE OF ORGANIZATION 1f. JURISDICTION OF ORGANIZATION 1g. ORGANIZATIONAL ID#, if any <br />~ NONE <br />2. ADDITIONAL DEBTOR'S EXACT FULL LEGAL NAME - inseA onVy one debtor name (2a or 2b) - do not abbreviate or combine names <br />2a. ORGANIZATION'S NAME <br />OR <br />2b. INDIVIDUAL'S LAST NAME FIRST NAME <br />2c. MAILING ADDRESS CITY <br />ADD'L INFO RE 2e. TYPE OF ORGANIZATION 2f. JURISDICTION OF ORGANIZATION <br />NAME <br />TE IPOSTALCODE ICOUNTRY <br />ORGANIZATIONAL ID #, if any <br />[] NONE <br />3. SECURED PARTI"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 FIRST NAME <br />MIDDLE NAME <br />3c. MAILING ADDRESS CITY STATE POSTAL CODE COUNTRY <br />1313 SHERMAN STREET, ROOM 721 DENVER CO 80203 USA <br />4. This FINANCING STATEMENT covers the following collateral: <br />SECURED PARTY'S CAPITAL STOCK PLEDGED TO REPAY LOAN OF $251,125.00 IN <br />ACCORDANCE WITH LOAN CONTRACT NO. C153797, AS AMENDED AND PROMISSORY NOTE <br />DATED DECEMBER 1, 2000. <br />5. ALTERNATIVE DESIGNATION (rfapplicable): ^ LESSEE/LESSOR ^ CONSIGNEElCONSIGNOR ^ BAILEEIBAILOR d SELLERIBUYER ^ AG IIEN ^ NON-UCC FILING <br />This FINAN TATEMEN is to be i ed or record in the REAL 7. Check to REQUEST SEARCH REPORT(S) on Debtor(s) (Optional) <br />ESTATE RECORDS ^ All Debtors ^ Debtor 1 ~ Debtor 2 <br />8. OPTIONAL FILER REFERENCE DATA <br />LOAN CONTRACT NO. C153797, AMENDMENT NO. 2 <br />NATIONAL UCC FINANCING STATEMENT (FORM UCC1) - COLORADO (REV 71/15/2001) <br />