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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 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 />I DENVER, COLOARDO 80203 , <br />1. DEBTOR'S EXACT FULL LEGAL NAME -insert only one debtor name (1a or 1b) - do not abbreviate or combine names <br />1a. ORGANIZATION'S NAME <br />oR THE SUMMIT RESERVOIR AND IRRIGATION COMPANY <br />1b. INDIVIDUAL'S LAST NAME FIRST NAME <br />NAME (SUFFIX <br />tc. MAILING ADDRESS CITY STATE POSTAL CODE COUNTRY <br />13990 ROAD 31 DOLORES co 81323 USA <br />ADD'L INFO RE 1e. TYPE OF ORGANIZATION 1f. JURISDICTION OF ORGANIZATION 1g. ORGANIZATIONAL ID#, if any <br />DEe oR TION D N C CD 0019871043485 <br />NONE <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 (AST NAME <br />2c. MAILING ADDRESS <br />ABOVE SPACE FOR FILING OFFICE USE ONLY <br />°~I~:~°ET;~(~s',' ICE T (NECC <br />_'%~..' .7L3~^! 3}J ~ %~ a ~._} v .,~F~Y <br />NAME <br />NAME <br />SUFFIX <br />STAL CODE COUNTRY <br />ORGANIZATIONAL ID #, if any <br />NONE <br />ADD'L INFO RE 2e. TYPE OF ORGANIZATION 2f. JURISDICTION OF ORGANIZATION 2c <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 FIRST NAME MIDDLE NAME <br />~ 1580 LOGAN STREET, SUITE 750 ICDENVER IS CO IP80203CODE ICUSARY <br />4. This FINANCING STATEMENT covers the following collateral: <br />SECURED PARTY'S REVENUES PLEDGED TO REPAY LOAN OF $33,000.00. IN ACCORDANCE <br />WITH LOAN CONTRACT NO. 0153666 AND PROMISSORY NOTE DATED FREBRUARY 23, 1994. <br />5. ALTERNATIVE DESIGNATION (itapplica6le): ^ LESSEEILESSOR ^ CONSIGNEE/CONSIGNOR ^ BAILEE/SAILOR ^ SELLERIBUYER ^ AG LIEN ^ NON-UCC FILING <br />This FINANCIN STATEMENT is to be fle for record) in the REAL 7. Check to REQUEST SEARCH REPORT(S) on Debtor(s) (Optional) <br />ESTATE RECORDS ~ All Debtors ^ Debtor 1 ~ Debtor 2 <br />B. OPTIONAL FILER REFERENCE DATA <br />LOAN CONTRACT NO. 0153666 <br />NATIONAL UCC FINANCING STATEMENT (FORM UCCt) -COLORADO (REV 11/15/2001) <br />