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CWCB Water Project Loan Application <br />Remaining Annual Maturity <br />Lender Name & Address Amount Payment Date <br />C. Ward Armstrong 55,000. 55,000. 1/1/2014 <br />2. Are any of the above liabilities now in default, or been in default at any time in the past? <br />YES_0 NO a. If YES, please give detailed explanation. <br />3. Please provide a brief narrative description of sources of funding, in addition to the CWCB, <br />which have been explored for this project (Examples would be Banks, USDA Rural <br />Development, NRCS, Colorado Water Resources and Power Development Authority, Colorado <br />Division of Local Government, etc.. This project has had a cobrado River District Grant in 2009. The District <br />has applied for a $65,000 grant from the Colorado River District for the current grant <br />The Gunnision Basin Roundtable has awarded the District a $75,000 grant for Blanche <br />Park Reservoir which is reflected in the total request. <br />4. What collateral will you be offering for this loan? Possibilities include a pledge of revenues, <br />the project itself, real estate, water rights. The District will pledge its assets in the current project of approximately <br />150 acre feet of water along with revenues from the 400 acres feet of water it has <br />impounded and supplies to local water users to help cover shortages in the supplies. <br />The above statements are true, to the byq of my,) nowledge: <br />Signature of A <br />Printed Name Austin M. Keiser <br />Title President <br />Date March 1, 2013 <br />4 <br />