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C00138
B. SEND ACKNOWLEDGMENT TO: (Name and Address)
~. Darr Smith, Esq. c/o Hunton & Williams
RECEIVED 2/24/2006 at 3:34 PM
RECEIVING # 916246
BOOK: 613 PAGE: 138
JEANNE WAGNER
LINCOLN COUNTY CLERK, KEMMERE~,,,!,!___
UCC FINANCING STATEMENT
FOLLOW INSTRUCTIONS /fronl and back) CAREFULLY
A. NAME & PHONE OF CONTACT AT FILER (optional)
--,
600 Peachtree Street, N.E., Suite 4100
Atlanta, Georgia 30308-2216
L
~
THE ABOVE SPACE IS FOR FILING OFFICE USE ONL Y
1. DEBTOR'S EXACT FULL LEGAL NAME -inset! only ØM dablornama (l.or Ib) 'do notabbrev\.ta oreomblna namea
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la. ORGANIZATION'S NAME
SIMMONS-SLC, LLC
OR lb. INDIVIDUAL'S LAST NAME FIRST NAME MIOOLE NAME SUFFIX
Ie, MAILING ADDRESS COY STATE rOSTAL CODE COIJNTAY
515 South 700 East. Suite 1 C Salt Lake City UT 84102 USA
1<1. TAX ID': SSN OR EIN ^DD'L INFO RE la. TYPE OF ORGANIZATION 11, JURISDICTION OF ORGANIZATION 1 g. ORGANIZATIONAL ID '. if any
g~~:t~TION I LLC I . Utah I UT -4877555-0160 nNONE
2, ADDITIONAL DEBTOR'S EXACT FULL LEGAL NAME ·Insart only œA dabtcrname (2a or 2b . do not abbrevlale or combine "ames
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2a. ORGANIZATION'S NAME
OR 2b. INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE NAME SUFFIX
20. MAILING ADDRESS CITY STATE rOSTAlCOOE COUNTRY
2d. TAX ID .: SSN OR EIN I :D'L INFO RE 12.. TYPE OF ORGANIZATION 21. JURISDICTION OF ORGANIZATION 2g. ORGANIZA TIONA.L 10.. If any
ORGANIZATION n NONE
DEBTOR i I I
3. SECURED PARTY'S NAME (or NAME 01 TOTAL ASSIGNEE 01 ASSIGNOR SIP) ,Insart ooly!UHt .acured pany noma (3a or 3b)
31. ORGANIZATION'S NAME
OR Goldman Sachs Specialty Lending Group, L.P., as Agent
3b, INDNlDUAL'S LAST NAME FIRST NAME MIDDLE NAME SUFFIX
30, MAIUNG ADDRESS COY STATE rOSTALCODE COUNTRY
600 E. Las Colinas Boulevard, Suite 400 Irving TX 75039 USA
4. T11is FINANCING STATEMENT eovI" Ihl following coIlaloral:
Collateral consists of all assets, personal property and/or goods of Debtor now owned or hereafter acquired which are or are to
become fixtures on the real property described on Exhibit· A· attached hereto and incorporated herein by reference. Note:
Retention of cash proceeds by any subordinate secured party violates the rights of the Secured Party Identified herein.
6.
e. OPTIONAL FILER REFERENCE DATA
File with Lincoln County, Wyoming (GoldmanlSimmons/65740.2)
FILING OFFICE COPY - NATIONAL UCC FINANCING STATEMENT (FORM UCC1) (REV. 07/29198)
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0316246
C00139
UCC FINANCING STATEMENT ADDENDUM
SIMMONS-SLC, LLC
OR
9b. INDIVIDUAL'S LAST NAME
FIRST NAME
MIDDLE NAME,SUFFIX
10, MISCELLANEOUS:
11. ADDITIONAL DEBTOR'S EXACT FUll lEGAL NAME .Insen onl
lIe. ORGANIZATION'S NAME
THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY
OR lIb, INDIVIDUAL'S LAST NAME
FIRST NAME
MIDOlE NAME
SUFFIX
lIe. MAILING ADORESS
CiTY
STATE POSTALCOOE
COUNTRY
Itd, TAX ID4I: SSNOREIN
11.. TYPE OF ORGANIZATION
111. JURISDICTION OF ORGANIZATION
11g.0RGANIZATIONAL /0 I,ll any
NONE
12,
ASSIGNOR SIP'S NAME -Inson only IH!I name (12. or 12b
OR 12b. INDIVIDUAL'S LAST NAME
12e. MAiliNG ADDRESS
CITY
SUFFIX
FIRST NAME
COUNTRY
.....x\r.C\.d 16. Additional coIl.l.r.1 description:
Description of real estate appears on "Exhibit A"
attached hereto and incorporated herein by reference.
15. N.me and .ddress 01 . RECORD OWNER 0/ .bov.-<le.erib.d real ..tat.
(If D.blor does nOl have a record Int.ro$l):
17. Checll ~ 1/ appllcabla and ch.ek ~ on. box.
D.btor I. a Trust.e acting wllh r..peC11O prop.rty h.ld In lrusl or Oee.dent's Esta"
18. Check 2!!l if epplicabl. .nd check IIIIx one bo>c.
D.blor Is. TRANSMITTiNG UTILITY
Fil.d In conn.ellon with a MaoufaC1ured'J.iom. TranNCllon - eftective 30 y.ara
FR.d In connecllon with a Pubnc-Flnance Transaction - .ftecllve 30 y.a",
FILING OFFI.CE COpy - NATIONAL UCC FINANCING STATEMENT ADDENDUM (FORM UCC1Ad) (REV. 07/29/98)
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O~16246
CQ0140
EXHIBIT A TO
DEED OF TRUST
That certain real property situated in Lincoln County, State of Wyoming, more
particularly described as follows:
PARCEL 1:
COMMENCING at the Northwesterly comer of Block 19 ofthe First Addition to the
Town of Kemmerer, Lin~oln County, Wyoming and running thence South 63°26'
West, 60 feet; thence South 84°38' West, 131.14 feet to the point of beginning;
thence North 11°36' East, 120,00 feet to a point on the Southerly right of way
boundary line of Wyoming State Highway #30 North; thence in a Westerly direction
along said right-of-way boundary thence in a Westerly direction along said right-of-
way boundary following a 1.027 curve to the left, a distance of 501.33 feet; thence
South 11 °26' West, 273 feet; thence along a curve to the left with a radius of250.00
feet and an internal angle of 180.00°, a distance of785.40 feet; thence North 11 °36'
East 130.00 feet to the point of beginning; being situate in the Southeast quarter of
. Section 14, Township 21 North, 116 West of the 6th P.M.
PARCEL 2:
COMMENCING at the Northwesterly comer of Block 19 of the First Addition to the
. Town of Kemmerer, Lincoln County, Wyoming and running thence South 63°26'
West, 30.00 feet, to the point of beginning; thence South 63°26' West, 30.00 feet;
thence South 84°38'30" West, 131.14 feet; thence North 11°26' East, 120.00 feet;
thence South 72°45' East, 19.92 feet; thence South 17°36' West, 12.26 feet; thence
North 89°38' East, 80.88 feet; thence South 26°34' East, 83,65 feet to the point-of
BEGINNING.
Tax Notice Nos. 12-2116-14-1-00-025.00 and 12-2116-14-1-00-025.~0
Kemmerer. WY
445433.1