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UCC FINANCING STATEMENT AMENDMENT <br />Filing Fee: $18 <br />Follow [nstructions Carefully <br />NAME & PHONE OF CONTACT (optional) <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 />1. Initial Financing Statement Information (Required) <br />ta. Original Filing Number. 20082124908 C 1b. Original Filing Date: 12/23/ � tc. If filed prior to ,:�nuary 1, 2000, indicate Original Filing Office: <br />Z. �T@�RIII18f1011: Eflectiveneas of the Financing Statement ideMifiad above is terminated wilh respect to secia'ily interesqs) of the Secured Party authaizing this Terminatlon Statement <br />0I1 IIlUB 1011: Eftectiveneas of ihe Finandng SGtement identlfled above wilh respect ta security interest(s) of ihe Secured Party aWhorizing ihis Continuatlon Statement <br />is condnued far Ihe additional period proNded by applicabb lew. <br />.� SS 91IRIEIIt: Give name of assignee in item 7a a m�d address of asaignee in item 7c; also give name of assigna in item 9. <br />. men men a n fR12 IOII : This Amendment aRecta Debtor o� Secwed Party oF record. Check onty one of theee two boxea. <br />Aiso check one of Cie folbwing three boxes and provide appropriate infamation in items 8 andla 7. <br />� CHANGE name andla add�ess: GNe cuvent recard name in Item ea a 6b; also give � DELETE name: Give record name � ADD name: Complete item 7a a 7b, and also <br />new name (ff narne change) in itom 7a a 7b andla new address (if address change) In item 7c. to be deleted in 6a w Bb. item 7c; alsa complete ifems 7e (if appicabb) <br />6. CURR RECORD INFORMATION: <br />ABOVE SPAC FOR FILING OFFICE USE ONLY <br />i�_�1L�ti.ill�Q?( !',: <br />� 1:�. �4�;! <br />:;�i: �'ET�F' i ��F :;T�TE <br />U1-i�-:�G1�� I?::,5:4C1 <br />6a. ORGANIZATION'S NAME <br />oR HEADGATE 135 LATERAL, INC. <br />6b. INDIVIDUAL'S IAST NAME <br />NAME <br />NAME <br />7. CHANGED (N EW) OR ADDED INFORMATION: <br />7a. ORGANIZATION'S NAME <br />OR <br />INDIVIDUAL'S LAST NAME <br />FIRST NAME <br />NAME <br />7c. MAILINGADDRESS CITY STATE POSTALCODE COUNTRY <br />3042 BELFORD COURT GRAND JUNCTION CO 81504 USA <br />ADD'L INFO RE 7e. TYPE OF ORGANIZATION 7t. JURISDICTION OF ORGANIZATION 7g. ORGANIZATION IDfk, if any <br />ORGANIZATION D N C C � CO 19881086685 <br />DEBTOR �NONE <br />8. AMENDMENT (COLLATERAL CHANGE): check only one box. <br />Describe collatera10deleted or ❑added, or give entire❑� restated collateral description, or describe collateral❑assigned <br />SECURED PARTY'S REVENUES PLEDGED TO REPAY LOAN OF $92,061.99 IN ACCORDANCE <br />WITH LOAN CONTRACT NO. C150270, AS AMENDED, AND PROMISSORY NOTE, DATED <br />DECEMBER 1, 2009. <br />• (name of assignor, if this is an Assignment). If this is an Amendment authorized by � <br />Debtor which add co or adds the aulhorizing Debtor, or ii this is a Termination authonzed by a Debtor, check here Q and enter name oi DEBTOR authonzing this Amendmere <br />9a ORGANIZATION'S NAME <br />oR State of Colorado - Colorado Water Conservation Board <br />INDIVIDUAI'S L4ST NAME �FIRST NAME IMIDDLE NAME <br />10. OPTIONAL FILER REFERENCE DATA <br />Loan Contract No. C150270 <br />NATIONAL UCC FINANCING STATEMENT AMENDNIENT (FORM UCCJ� - COLORADO (REV 7/18/2007) <br />