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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 />( DENVER, COLOARDO 80203 <br />j _; i[t <br />,,,E)_ =°E TARP OF STATE i <br />ABOVE SPACE FOR FILING OFFICE USE ONLY <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 HORSE CREEK WATER USERS ASSOCIATION <br />1b. INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE NAME SUFFIX <br />tc. MAILING ADDRESS CITY STATE POSTAL CODE COUNTRY <br />15990 County Road 12 RUSH Co 80833 USA <br />ADUL INFO RE 1e. TYPE OF ORGANIZATION 1f. JURISDICTION OF ORGANIZATION 1g. ORGANIZATIONAL ID #, if any <br />ORGANIZATION DNC CO C019941029836 <br />DEBTOR []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 />OR ORGA <br />2a. NIZATION'S NAME <br />INDIVIDUAL'S LAST NAME <br />2c, MAILING ADDRESS <br />FIRST NAME IMIDDLE NAME <br />CITY ISTATE <br />_ ADD'L INFO RE 2e. TYPE OF ORGANIZATION 2f. JURISDICTION OF ORGANIZATION 2g <br />ORGANIZATION <br />DEBTOR <br />3. SECURED PARTY'S NAME (or NAME of TOTAL ASSIGNEE of ASSIGNOR S /P) - insert only one secured party name (3a or 31b) <br />3a. ORGANIZATION'S NAME <br />OR COLORADO WATER CONSERVATION BOARD <br />31b. INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE NAME <br />SUFFIX <br />3TAL CODE COUNTRY <br />ORGANIZATIONAL ID #, if any <br />NONE <br />3c. MAILING 580 LOGAN STREET, SUITE 750 ICITY <br />DENVER I STATE <br />co IP 80203 ODE ICUSARY <br />4. This FINANCING STATEMENT covers the following collateral: <br />SECURED PARTY'S REVENUES PLEDGED TO REPAY LOAN OF $825,000.00 IN ACCORDANCE <br />WITH LOAN CONTRACT NO. C153771 AND PROMISSORY NOTE DATED NOVEMBER 25, 1997. <br />5. ALTERNATIVE DESIGNATION (if applicable): [3 LESSEE/LESSOR ❑ CONSIGNEE /CONSIGNOR 0 BAILEE /BAILOR ❑ SELLERIBUYER ❑ AG LIEN ❑ NON -UCC FILING <br />his FINANCING STATEMENT is toe filed or record) in the REAL 7. Check to REQUEST SEARCH REPORT(S) on Debtor(s) (Optional) <br />ESTATE RECORDS I ❑ All Debtors ❑ Debtor 1 M Debtor 2 <br />8. OPTIONAL FILER REFERENCE DATA <br />LOAN CONTRACT NO. C153771 <br />NATIONAL UCC FINANCING STATEMENT (FORM UCC1)- COLORADO (REV 11115/21301) <br />