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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: Water Supply Planning & Finance =-=`'`�'=`l-`=`�'� <br /> 00 <br /> 1580 Logan Street, Suite 600 - <br /> Denver, CO 80203SECRETARY <br /> _ ±ET Y OF STATE <br /> OS/27/2n10`010 10.35.21 <br /> ABOVE SPACF FOR FILING OFFICE USE ONl V <br /> 1.DEBTORS EXACT FULL LEGAL NAME-insert only one debtor name(1a or 1b)-do not abbreviate or combine names <br /> la.ORGANIZATION'S NAME <br /> OR LAKE HENRY RESERVOIR COMPANY <br /> lb.INDIVIDUALS LAST NAME FIRST NAME MIDDLE NAME SUFFIX <br /> 1c.MAILING ADDRESS CITY STATE POSTAL CODE COUNTRY <br /> P.O. BOX 8 ORDWAY CO 81063 USA <br /> ADD'L INFO RE le.TYPE OF ORGANIZATION tf.JURISDICTION OF ORGANIZATION 1g.ORGANIZATIONAL ID#,if any <br /> ORGANIZATION DNC CO C019871117874 rn <br /> DEBTOR NONE <br /> 2.ADDITIONAL DEBTORS EXACT FULL LEGAL NAME-insert only one debtor name(2a or 2b)-do not abbreviate or combine names <br /> 2a.ORGANIZATION'S 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.TYPE OF ORGANIZATION 2f.JURISDICTION OF ORGANIZATION 2g.ORGANIZATIONAL ID#,if any <br /> ORGANIZATION <br /> DEBTOR 0 NONE <br /> 3.SECURED PARTY'S NAME(or NAME of TOTAL ASSIGNEE of ASSIGNOR S/P)-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.INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE NAME SUFFIX <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 following collateral: <br /> SECURED PARTY'S REVENUES PLEDGED TO REPAY LOAN OF $147,701.10 IN ACCORDANCE <br /> WITH LOAN CONTRACT NO. C150098, AS AMENDED, AND PROMISSORY NOTE, DATED <br /> JULY 27, 2005. <br /> 5.ALTERNATIVE DESIGNATION(if applicable): 0 LESSEE/LESSOR 0 CONSIGNEE/CONSIGNOR 0 BAILEE/BAILOR 0 SELLER/BUYER 0 AG LIEN 0 NON-UCC FILING <br /> 6, 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. C150098 <br /> NATIONAL UCC FINANCING STATEMENT(FORM UCC1)-COLORADO(REV 7/18/2007) <br />