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COLORADO UCC FINANCING STATEMENT <br /> Filing Fee: $18 <br /> Follow Instructions Carefully <br /> A. NAME & PHONE OF CONTACT (optional) <br /> B. SEND ACKNOWLEDGMENT TO: (Name and Address) <br /> Colorado Water Conservation Board <br /> Attn: Finance Section <br /> 1580 Logan Street, Suite 600 4: A", <br /> Denver, CO 80203 13F ':3T.4TE <br /> 11'.45:52- <br /> ABOVE SPACE FOR FILING OFFICE USE ONLY <br /> 1. DEBTOR'S EXACT FULL LEGAL NAME - insert only one debtor name (1 a or I b) - do not abbreviate or combine names <br /> Ia. ORGANIZATION'S NAME <br /> OR LAS ANIMAS CONSOLIDATED CANAL COMPANY <br /> 1 b. INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE NAME SUFFIX <br /> Ic. MAILING ADDRESS CITY STATE POSTAL CODE COUNTRY <br /> 4653 TABLE MOUNTAIN DRIVE GOLDEN CO 80403 USA <br /> ADD L INFO RE 1e. TYPE OF ORGANIZATION If. JURISDICTION OF ORGANIZATION Ig. ORGANIZATIONAL ID#, 9 any <br /> ORGANIZATION 1 4C co 0019871106074 ❑NONE <br /> DEBTOR 2. ADDITIONAL DEBTORS EXACT FULL LEGAL NAME - insert onlyone debtor name (2a or 2b) - do not abbreviate or combine names <br /> 2a. ORGANIZATIONS NAME <br /> OR <br /> 2b. INDIVIDUALS LAST NAME FIRST NAME MIDDLE NAME SUFFIX <br /> 2c. MAILING ADDRESS CITY STATE POSTAL CODE COUNTRY <br /> ADD'L INFO RE 2e. 3 E OF ORGANIZATION 2f. JURISDICTION OF ORGANIZATION 2g. ORGANIZATIONAL ID #, ff any <br /> ORGANIZATION <br /> DEBTOR I [:]NONE <br /> 3. SECURED PARTY 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. INDIVIDUALS LAST NAME FIRST NAME MIDDLE NAME SUFFIX <br /> 3c. MAILING ADDRESS CITY STATE ]POSTALCODE COUNTRY <br /> 1580 Logan Street, Suite 600 Denver CO 80203 USA <br /> 4. This FINANCING STATEMENT covers the following collateral: <br /> SECURED PARTY'S REVENUES PLEDGED TO REPAY LOAN OF $77,265.00 IN ACCORDANCE <br /> WITH LOAN CONTRACT NO. C150307 AND PROMISSORY NOTE, DATED JULY 28, 2010. <br /> 5. ALTERNATIVE DESIGNATION (Nappkable): []LESSEE/LESSOR OCONSIGNEE/CONSIGNOR [3BAILEEIBAILOR [3SELLER/BUYER [3AGLIEN [] NON -UCC FILING <br /> 6. Lj This FINANCING STATEMENT is to be filed (for record) in the REAL <br /> ESTATE RECORDS <br /> 8. OPTIONAL FILER REFERENCE DATA <br /> Loan Contract No. C150307 <br /> NATIONAL UCC FINANCING STATEMENT (FORM LICCI) -COLORADO (REV 7It15/2007) <br />