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COLORADO UCC FINANCING STATEMENT <br />Filing Fee: $ ] 8 <br />Follow lnstructions Carefully <br />NAME 8 PHONE OF CONTACT (op6onal) <br />SEND ACKNOWLEDGMENT T0: (Name and Address) <br />� Colorado Water Conservation Board � <br />Attn: Water Supply Planning & Finance <br />1580 Logan Street, Suite 750 <br />Denver, CO 80203 <br />t <br />;•�,,-�.�-� � f ,:�_, i : <br />�., t. • t _ A �- •- - <br />;. j,;�.'tiit <br />'��l���*� ! =ih:1' !�1- •��4?T� <br />�d Y ,t . <br />:L I _ia :�3i}:.i.i <br />ABOVE SPACE FOR FILING OFFICE USE ONLY <br />0 <br />t. DEBTOR'S EXACT FULL LEGAL NAME - insert only on� debtor name (1 a or tb) - do n ot abbre or co m b ine names <br />1 a. ORGANIZATION'S NAME <br />oR WATER SUPPLY AND STORAGE COMPANY (THE) <br />1b. INDIVIDUAL'S LAST NAME FIRST NAME <br />1c. MAILINGADDRESS CITY <br />P.O. BOX 1584 FORT COLLINS <br />ADD'L INFO RE te. TYPE OF ORGANIZATION 1f. JURISDICTION OF ORGANIZATION <br />ORGANIZATION D N C CO <br />DEBTOR <br />2. ADDITIONAL DEBTOR'S EXACT FULL LEGAL NAME - insert only�ne debtor name (2a or 2b) - do not abbreviate or combirre names <br />2a. ORGANIZATION'S NAME <br />OR <br />IND�VIDUAL'S LAST NAME <br />RST NAME <br />2c. MAILING ADDRESS <br />INFO RE IZe• TYPE OF ORGANIZATION <br />JURISDICTION OF ORGANIZATION <br />NAME <br />TATE POSTALCODE COUNTRY <br />CO 80522-1584 USA <br />1g. ORGANI7ATIONAL ID#, ii any <br />C019871012392 �NONE <br />NAME <br />CODE <br />ORGANIZATIONAL ID #, if any <br />� NONE <br />3. SECURED PARTI^S NAME (or NAME oi TOTAL ASSIGNEE of ASSIGNOR SIP) - insert only one secured party name (3a or <br />3a. ORGANIZATION'S NAME <br />oR State of Colorado - Colorado Water Conservation Board <br />3b. INDfVIDUAL'S LAST NAME FIRST NAME <br />MIDDLE NAME <br />3c. MAILING ADDRESS CITY STATE POSTAL CODE COUNTRY <br />1580 Logan Street, Suite 600 Denver CO 80203 USA <br />4. This FINANCING STATEMENT covers the tolbwing collateral: <br />SECURED PARTY'S REVENUES PLEDGED TO REPAY LOAN OF $843,350.00 IN ACCORDANCE <br />WITH LOAN CONTRACT NO. C150281 AND PROMISSORY NOTE, DATED MAY 15, 2009. <br />5. ALTERNATIVE DESIGNATION�rc appucableg ❑ LESSEFJLESSOR ❑ CONSIGNEE/CONSIGNOR ❑ BAI�EElBAILOR ❑ SELLER/BUYER ❑ AG LIEN ❑ NON-UCC FILING <br />6, This FINANCING STATEMENT is to be filed {for rewrd) in the REAL <br />ESTATE RECORDS <br />8. OPTIONAL FILER REFERENCE DATA <br />Loan Contract No. C150281 <br />NATIONAL UCC FINANCING STATEMENT (FORM UCCt) • COLORADO (REV 711B/2007) <br />