HomeMy WebLinkAbout958420OR
la. ORGANIZATIONS NAME
SIMMONS -SLC, LLC
1b. INDIVIDUAL'S LAST NAME
FIRST NAME
MIDDLE NAME
SUFFIX
lc. MAILING ADDRESS
515 South 700 East, Suite 1C
CITY
Salt Lake City
STATE
UT
POSTAL CODE
84102
COUNTRY
USA
ld. TAX ID SSN OR EIN
ADD'L INFO RE Ile. TYPE OF ORGANIZATION
ORGANIZATION I LLC
DEBTOR
1f. JURISDICTION OF ORGANIZATION
Utah
lg. ORGANIZATIONAL ID if any
UT- 4877555 -0160 n �NE
OR
2a. ORGANIZATIONS NAME
2b. INDIVIDUAL'S LAST NAME
FIRST NAME
MIDDLE NAME
SUFFIX
2c. MAILING ADDRESS
CITY
STATE
POSTAL CODE
COUNTRY
2d. TAX ID SSN OR EIN
ADD'L INFO RE Ile. TYPE OF ORGANIZATION
ORGANIZATION
DEBTOR 1
2f. JURISDICTION OF ORGANIZATION
2g. ORGANIZATIONAL ID if any
n NONE
OR
3a. ORGANIZATIONS NAME
Goldman Sachs Specialty Lending Group, L.P., as Second Lien Agent
3b. INDIVIDUAL'S LAST NAME
FIRST NAME
MIDDLE NAME
SUFFIX
3c. MAILING ADDRESS
6011 Connection Drive
CITY
Irving
STATE
TX
POSTAL CODE
75039
COUNTRY
USA
UCC FINANCING STATEMENT
FOLLOW INSTRUCTIONS (front and back) CAREFULLY
A. NAME PHONE OF CONTACT AT FILER [optional]
B. SEND ACKNOWLEDGMENT TO: (Name and Address)
n
L
Please Return To
National Corporate Research, Ltd.
41 State Street, Suite 600
Albany, New York 12207
(800)828 -0938 (518)434 -0938
1
1. DEBTORS EXACT FULL LEGAL NAME insert only pim debtor name (la or 1b) do not abbreviate or combine names
2. ADDITIONAL DEBTORS EXACT FULL LEGAL NAME insert only one debtor name (2a or 2b) do not abbreviate or combine names
3. SECURED PARTY'S NAME (or NAME of TOTAL ASSIGNEE of ASSIGNOR S /P) insert only ang secured party name (3a or 3b)
RECEIVED 3/10/2011 at 2:59 PM
RECEIVING 958420
BOOK: 763 PAGE: 534
JEANNE WAGNER
LINCOLN COUNTY CLERK, KEMMERER, WY
000534-
THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY
4. This FINANCING STATEMENT covers the following collateral:
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.
5. ALTERNATIVE DESIGNATION [if appticable]: f LESSEE /LESSOR CONSIGNEE /CONSIGNOR BAILEE /BAILOR n SELLER /BUYER DAG. LIEN nNON -UCC FILING
6, [This FINANCING STATEMENT is to be filed [for record] (or recorded) in the REAL 1 Check to REQUEST SEARCH REPORT(S) on Debtor(s)
ESTATE RECORDS. Attach Addendum [if applicable] [ADDITIONAL FEE] [optional] All Debtors ❑Debtor ['Debtor
8. OPTIONAL FILER REFERENCE DATA
File with Lincoln County, Wyoming (Goldman /Simmons /65740.2)
FILING OFFICE COPY— NATIONAL UCC FINANCING STATEMENT (FORM UCC1) (REV. 07/29/98)
OR
11a. ORGANIZATIONS NAME
11 b. INDIVIDUAL'S LAST NAME
FIRST NAME
MIDDLE NAME
SUFFIX
11c. MAILING ADDRESS
CITY
STATE
POSTAL CODE
COUNTRY
11d. TAX ID SSN OR EIN
ADD'L INFO RE 11e. TYPE OF ORGANIZATION
ORGANIZATION
DEBTOR
1lf.JURISDICTION OF ORGANIZATION
11g. ORGANIZATIONAL ID if any
NONE
12.
OR
1 ADDITIONAL SECURED PARTY'S Q ASSIGNOR S/P'S NAME insert only one name (12a or 12b)
12a. ORGANIZATION'S NAME
12b. INDIVIDUAL'S LAST NAME
FIRST NAME
MIDDLE NAME
SUFFIX
12c. MAILING ADDRESS
CITY
STATE
POSTAL CODE
COUNTRY
13. This FINANCING STATEMENT
collateral, or is filed as a 1 NI
14. Description of real estate:
Description of real
attached hereto and
15. Name and address of a RECORD
(if Debtor does not have a record
covers timber to be cut or as- extracted
16. Additional collateral description:
fixture filing.
estate appears on "Exhibit A"
incorporated herein by reference.
OWNER of above described real estate
interest):
17. Check only if applicable and check only one box.
to property
Decedent's Estate
Debtor is a Trust or, Trustee acting with respect
held in trust or.
18. Check only if applicable and check EU(Y one box.
effective 30 years
effective 30 years
1 Debtor is a TRANSMITTING UTILITY
1 Filed in connection with a Manufactured -Home Transaction
1 Filed in connection with a Public- Finance Transaction
UCC FINANCING STATEMENTADDENDUM
AME OF FIRST DEBTOR (la or 1b) ON RELATED FINANCING STATEMENT
9a. ORGANIZATIONS NAME
SIMMONS SLC, LLC
9b. INDIVIDUAL'S LAST NAME
MISCELLANEOUS:
FIRST NAME
MIDDLE NAME,SUFFIX
FOLLOW INSTRUCTIONS (front and back) CAREFULLY
9. N
OR
10.
11. ADDITIONAL DEBTORS EXACT FULL LEGAL NAME- insert only gig name (1la or 11b)
FILING OFFICE COPY— NATIONAL UCC FINANCING STATEMENT ADDENDUM (FORM UCC1Ad) (REV. 07/29/98)
000535
THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY
PARCEL 1:
PARCEL 2:
Tax Notice Nos. 12- 2116- 14 -I -00- 025.00 and 12- 2116- 14 -1 -00- 025.20
65740.000002 EMF_US 33932742v1
EXHIBIT A
Legal Description of Property
000536
That certain real property situated in Lincoln County, State of Wyoming, more
particularly described as follows:
COMMENCING at the Northwesterly corner of Block 19 of the First Addition to
the Town of Kemmerer, Lincoln 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 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 of 250.00 feet and an internal angle of 180.00 a distance of 785.40
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.
COMMENCING at the Northwesterly corner 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.