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COLORADO UCC FINANCING STATEMENT <br />Filing Fee: $15 <br />Follow Instructions (front and back) Carefully <br />A. NAME & PHONE OF CONTACT (optional) <br />B. SEND ACKNOWLEDGMENT T0: (Name and Address) <br />� COLORADO WATER CONSERVATION � <br />BOARD <br />ATTN: WATER SUPPLY PLANNING & <br />FINANCE <br />1580 LOGAN STREET, SUITE 750 <br />� DENVER, COLOARDO 80203 � <br />1. DEBTOR'S Ex4CT FULL LEGAL NP.^".E - incert only ore debtor name (1 a or 16) - do no! abbreviate or combine names <br />1 a. ORGANIZATION'S NAME <br />oR VICTOR QUINT, INC. <br />1b. INDIVIDUAL'S LAST NAME FIRST NAME <br />1c. MAILINGADDRESS <br />35997 HWY 6 <br />� � '�,i�rtt'`` ° ADO'LINFORE <br />� - ORGANIZATION <br />DEBTOR <br />2. ADDITIONAL DEBTOR'S EXACT FULL LEGAL NAME - insert <br />2a. ORGANIZATION'S NAME <br />OR <br />INDIVIDUAL'S LAST NAME <br />y .-�.-� -��,�. <br /><:.�...{ �',:�.)�:�._�,�y�t� {,J <br />:� �, `•�t . �_il! <br />`:�L�.:�:°E i ��?'•� ��tF '=�Tt�T� <br />i_';�_t t'_i—� i=s�'�i � �►_+ <br />ABOVE SPACE F OR FILING OFFICE USE ONLY <br />RST NAME <br />NAME <br />2c.MAILINGADDRESS CITY STATE POSTALCODE COUNTRY <br />', ,A,� •v� ADD'L INFO RE 2e. TYPE OF ORGANIZATION 2f. JURISDICTION OF ORGANIZATION 2g. ORGANIZATIONAL ID #, if any <br />r�a <br />r, ;� � ORGANIZATION <br />�t�` ., �. , DEBTOR �NONE <br />3. SECURED PARTI"S NAME (or NAME of TOTAL ASSIGNEE of ASSIGNOR SIP) - inseR only one secured party name (3a or 3b) <br />3a. ORGANIZATION'S NAME <br />OR COLORADO WATER CONSERVATION BOARD <br />3b. INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE NAME SUFFIX <br />3c. MAILING ADDRESS CITY STATE POSTAL CQDE COUNTRY <br />1580 LOGAN STREET, SUITE 750 DENVER CO 80203 USA <br />4. This FINANCING STATEMENT covers the following collateral: <br />SECURED PARTY'S REVENUES PLEDGED TO REPAY LOAN OF $80,188.3.00 IN ACCORDANCE <br />WITH LOAN CONTRACT NO. C150147 AND PROMISSORY NOTE DATED SEPTEMBER 1, 2003. <br />5. ALTERNATIVE DESIGNATION ('rfapplicable): O LESSEEILESSOR O CONSIGNEEICONSIGNOR 0 BAILEEIBAILOR D SELLERIBUYER � AG LIEN � NON-UCC FILING <br />is INAN N is to i e or record) m t e 7. Check to REQUEST SEARCH REPORT(S) on Debtor(s) (Op6onal) <br />ESTATE RECORDS ❑ All Debtors � Debtor 1 � Debtor 2 <br />�8. OPTIONAL FILER REFERENCE DATA <br />LOAN CONTRACT NO. C150147 <br />MIDDLE NAME <br />CITY STATE POSTALCODE COUNTRY <br />HILLROSE co 80733 usa <br />1e. TYPE OF ORGANIZATION tf. JURISDICTION OF ORGANIZATION 1g. ORGANIZATIONAL IDi�, if any <br />DPC CO C019921091822 �NONE <br />nly one debtor name (2a or 2b) - do not abbreviate or combine names <br />NATIONAL UCC FINANCING STATEMEM (FORM UCC1)-COLORADO (REV 1 1 /1 512 0 01) <br />