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<br />. <br /> <br />. <br /> <br />DCC FINANCING STATEMENT <br />Filing Fee: $15 <br />Follow Instructions (front and back) Carefully <br /> <br />cOpy <br /> <br />NAME & PHONE OF CONTACT (optional) <br />Steve Biondo 303.866.3441 ex!. 326 <br /> <br />B. SEND ACKNOWLEDGMENT TO: (Name and Address) <br /> <br />WATER SUPPLY PLANNING AND FINANCE <br />SECTION <br />COLORADO WATER CONSERVATION BOARD <br />1313 SHERMAN STREET, ROOM 721 <br />DENVER, COLORADO 80203 <br /> <br />200120'74588 c <br />~ECR~fA~Q OF STATE <br />Oi-22-2001 14: 21 : 06 <br /> <br />ABOVE SPACE FOR FILING OFFICE USE aNL Y <br /> <br />1. DEBTOR'S EXACT FULL LEGAl NAME -Insert only.QM debtor name (fa or 1b). do not abbreviafeor combine names <br />1a.ORGANIZATION'SNAME <br />OR JACKSON LAKE RESERVOIR AND IRRIGATION COMPANY <br /> <br />1b.INOIVIDUAl'S LAST NAME <br /> <br />FIRST NAME <br /> <br />MIDDLE NAME <br /> <br />SUFFIX <br /> <br />10. MAILING ADDRESS <br />p, 0, BOX 38 <br /> <br />CITY <br />FORT MORGAN <br /> <br />STATE POSTAL CODE <br />CO 80701 <br /> <br />COUNTRY <br />USA <br /> <br />1d. TAX 10#: SSN OR ElN <br />(OPTIONAL:NOT REQUIRED) <br /> <br />ADD'lINFO RE <br />ORGANIZATION <br />DEeTOR <br />2. ADDITIONAL DEBTOR'S EXACT FULL LEGAL NAME - insert only Q!!.!! debfor name (2a or2b). do not abbltlviala or combine names <br />2a. ORGANIZATION'S NAME <br /> <br />16. TYPE OF ORGANIZATION <br /> <br />1f. JURISDICTION OF ORGANIZATION <br /> <br />19. ORGANIZATIONAL 10#, if any <br /> <br />DNC, <br /> <br />CO <br /> <br />C019871505748 0 NONE <br /> <br />OR <br /> <br />2b. INDIVIDUAL'S LAST NAME <br /> <br />FIFlST NAME <br /> <br />MIDDLE NAME <br /> <br />SUFFIX <br /> <br />2c. MAILING ADDRESS <br /> <br />CllY <br /> <br />STATE POSTAL CODE <br /> <br />COUNTRY <br /> <br />2d. TAX 10#: SSN OR EIN ADD'lINFO RE 28. TYPE OF ORGANIZATION 2f. JURISDICTION OF ORGANIZATION <br />(OPTIONAl:NOT REQUIRED) ORGAN!ZATJON <br />DEBTOR <br />3. SECURED PARTY'S NAME (or NAME ofTOlAl ASSIGNEE of ASSIGNOR SIP). insert only .2msecured party nama (3a or 3b) <br />3a. ORGANIZATION'S NAME <br />OR STATE OF COLORADO, COLORADO WATER CONSERVATION BOARD <br /> <br />2g. ORGANlZATIONAllD#, ifany <br /> <br />o NONE <br /> <br />3b. INDIVIDUAl'S LAST NAME <br /> <br />FIRST NAME <br /> <br />. MIDDLE NAME. <br /> <br />SUFFIX' <br /> <br />3c. MAILING ADDRESS <br />1313 SHERMAN STREET, ROOM 721 <br /> <br />CllY <br />DENVER <br /> <br />STATE POSTAL CODE <br />CO 80203 <br /> <br />COUNTRY <br />USA <br /> <br />4. This FINANCING STATEMENT covers the following collateral: <br /> <br />LOAN CONTRACT NO. C150063, DATED 08/01/01, FOR $1,000,000_00, ALL REVENUES DERiVED FROM ASSESSMENTS ON <br />STOCK AND ALL OF DEBTOR'S RIGHT TO RECEIVE SAID ASSESSMENT REVENUES TO REPAY THE INDEBTEDNESS ON <br />THE AMOUNT LOANED TO DEBTOR BY SECURED PARTY, AS DESCRIBED IN PLEDGE OF PROPERTY PROVISIONS IN LOAN <br />CONTRACT NO. C150063, TO SECURE PAYMENT OF THE INDEBTEDNESS IN THE AMOUNT OF $1,000,000.00, EVIDENCED <br />BY CERTAIN PROMiSSORY NOTE, DATED AUGUST 1, 2001, <br /> <br />5.A1. TERNATIVE DESIGNATION (ifapplcabl~):. 0 lESSEEilESSOR <br />IS slo a e orreco inl e <br />ESTATE RECORDS <br />a. OPTIONAL FILER REFERENCE DATA <br />LOAN CONTRACT NO, C150063 <br /> <br />.D CONSIGNEE/CONSIGNOR 0 BAILEElBAllOR 0 SELLERfBUYER 0 AG LIEN q NON.UCC FILING <br />7. Check 10 REQUEST SEARCH REPORT(S) on Deblor(s) (Optional) <br />r.J All Debtors eJ Debtor 1 [J Dablor 2 <br /> <br />NATIONAL ucc FINANCING STATEMENT (FORM UCC1) . COLOAADO (REV 7/1612001) <br />