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COLORADO UCC FINANCING STATEMENT <br />Filing Fee: $15 <br />Follow Instructions (front and back) Carefully <br />NAME 8 PHONE OF CONTACT (optional) <br />SEND ACKNOWLEDGMENT T0: (Name and Address) <br />I COLORADO WATER CONSERVATION <br />BOARD <br />ATTN: WATER SUPPLY PLANNING & <br />FINANCE <br />1580 LOGAN STREET, SUITE 750 <br />( DENVER, COLOARDO 80203 <br />. -. ; t~ , <br />~'_, = _ <br />_. _.L,vi 1•~•i•_•_ <br />ABOVE SPACE FOR FILING OFFICE USE ONLY <br />1. DEBTOR'S EXACT FULL LEGAL NAME -insert only one debtor name (1 z or 1 b) - do not abbreviate or combine names <br />1a. ORGANIZATION'S NAME <br />oR VICTOR QUINT, INC. <br />1b. INDIVIDUAL'S LAST NAME FIRST NAME <br />1c. MAILING ADDRESS CITY <br />35997 HWY 6 HILLROSE <br />ADD'L INFO RE 1e. TYPE OF ORGANIZATION 1f. JURISDICTION OF ORGANIZATION <br />ORGANIZATION DPC CO <br />DEBTOR <br />2. ADDITIONAL DEBTOR'S 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 />INDIVIDUAL'S LAST NAME <br />2c. MAILING ADDRESS <br />STATE IPOSTAL CODE <br />SUFFIX <br />ADD'L INFO RE 2e. TYPE OF ORGANIZATION Zf. JURISDICTION OF ORGANIZATION 2g. ORGANIZATIONAL ID #, if any <br />ORGANIZATION <br />.DEBTOR ^ 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 COLORADO WATER CONSERVATION BOARD <br />3b. INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE NAME SUFFIX <br />3c. MAILING ADDRESS ICDENVER IS CO IP 80203 ODE IC USARY <br />1580 LOGAN STREET, SUITE 750 <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 (if applicable): Q LESSEE/LESSOR ^ CONSIGNEE/CONSIGNOR ^ BAILEE/BAILOR ^ SELLER/BUYER ^ AG LIEN ^ NON-UCC FILING <br />6. This I N IN S E NT is to a fled (for record) in the AL 7. Check to REQUEST SEARCH REPORT(S) on Debtor(s) (Optional) <br />ESTATE RECORDS ~ All Debtors ^ Debtor 1 ~ Debtor 2 <br />8. OPTIONAL FILER REFERENCE DATA <br />LOAN CONTRACT NO. C150147 <br />IDDLE NAME SUFFIX <br />FATE POSTAL CODE COUNTRY <br />CO 80733 USA <br />1g. ORGANIZATIONAL ID#, if any <br />CO 19921091822 ~ NONE <br />NAME IMIDDLE NAME <br />NATIONAL UCC FINANCING STATEMENT (FORM UCC1) -COLORADO (REV 11115/2001) <br />