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COLORADO UCC FINANCING STATEMENT <br />Filing Fee: $15 <br />Follow Instructions (front and back) Carefully <br />NAME & PHONE OF CONTACT (optional) <br />SEND ACKNOWLEDGMENT TO: (Name and Address) <br />( COLORADO WATER CONSERVATION <br />BOARD <br />ATTN: WATER SUPPLY PLANNING & <br />FINANCE <br />1580 LOGAN STREET, SUITE 750 <br />I DENVER, COLOARDO 80203 <br />1. DEBTOR'S EXACT FULL LEGAL NAME - insert only one debtor name (ta or 1b) - do not abbreviate or combine names <br />la. ORGANIZATION'S NAME <br />OR JACKSON LAKE RESERVOIR AND IRRIGATION COMPANY <br />1b. INDIVIDUAL'S LAST NAME I FIRST NAME <br /># ]8•CIO <br />" <br />cl =h.E I f OF ST�TE <br />10-012-2006 6 115 :01:19 <br />ABOVE SPACE FOR FILING OFFICE USE ONLY <br />NAME <br />1c.MAILINGADDRESS CITY STATE POSTAL CODE COUNTRY <br />PO BOX 38 FORT MORGAN co 80701 USA <br />ADD'L INFO RE 1e. TYPE OF ORGANIZATION 1f. JURISDICTION OF ORGANIZATION 1g. ORGANIZATIONAL ID#, if any <br />ORGANIZATION D N C co C019871505748 O NONE <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 />FIRST NAME <br />NAME <br />ATE I POSTAL CODE ICOUNTRY <br />ADD'L INFO RE 2e. TYPE OF ORGANIZATION 2f. JURISDICTION OF ORGANIZATION 2g. ORGANIZATIONAL ID #, if any <br />ORGANIZATION <br />DEBTOR <br />3. SECURED PARTY'S 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 COLORADO WATER CONSERVATION BOARD <br />3b. INDIVIDUAL'S LAST NAME I FIRST NAME MIDDLE NAME SUFFIX <br />3c. MAILING ADDRESS CITY STATE POSTAL CODE COUNTRY <br />1580 LOGAN STREET, SUITE 750 1 DENVER co 80203 USA <br />❑ NONE <br />4. This FINANCING STATEMENT covers the following collateral: <br />SECURED PARTY'S REVENUES PLEDGED TO REPAY LOAN OF $389,700.00 IN ACCORDANCE <br />WITH LOAN CONTRACT NO. C150043 AND PROMISSORY NOTE DATED AUGUST 22, 2000. <br />5. ALTERNATIVE DESIGNATION (if applicable): ❑ LESSEE /LESSOR ❑ CONSIGNEE /CONSIGNOR ❑ BAILEE/BAILOR ❑ SELLER/BUYER ❑ AG LIEN ❑ NON -UCC FILING <br />6, E3 This FINANCING STATEMENT is to be filed (for record) in the REAL 7. Check to REQUEST SEARCH REPORT(S) on Debtor(s) (Optional) <br />ESTATE RECORDS I O All Debtors E] Debtor 1 M Debtor 2 <br />8. OPTIONAL FILER REFERENCE DATA <br />LOAN CONTRACT NO. C150043 <br />NATIONAL UCC FINANCING STATEMENT (FORM 1JCC1) - COLORADO (REV 11115/2001) <br />