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3b. INDIVIDUALS 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]
Deborah Corey 404- 888 -4267
B. SEND ACKNOWLEDGMENT TO: (Name and Address)
Please Return To;
National Corporate Research, Ltd.
41 State Street, Suite 600
Albany, New York 12207
(800)828 -0938 (518)434 -0938
1
1. DEBTOR'S EXACT FULL LEGAL NAME insertonly one debtor name (1 a or 1 b) do notabbreviate orcombine names
RECEIVED 5/16/2011 at 2:32 PM
RECEIVING 959287
BOOK: 766 PAGE: 645
JEANNE WAGNER
LINCOLN COUNTY CLERK, KEMMERER, WY
00
THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY
1 a. ORGANIZATION'S NAME
Simmons -SLC, LLC
1 b. INDIVIDUALS LAST NAME
MAILING ADDRESS
5 South 700 East, Suite 1C
SEE INSTRUCTIONS
ADD'L INFO RE I le. TYPE OF ORGANIZATION
ORGANIZATION LLC
DEBTOR
FIRST NAME
CITY
Salt Lake City
1f. JURISDICTION OF ORGANIZATION
Utah
MIDDLE NAME
STATE
UT
POSTAL CODE
84102
1 g. ORGANIZATIONAL ID if any
4877555 -0160
n
OR
1 c.
5
1 d.
2. ADDITIONAL DEBTOR'S EXACT FULL LEGAL NAME insert only one debtor name (2a or 2b) do not abbreviate or combine names
OR
2a. ORGANIZATION'S NAME
2b. INDIVIDUALS LAST NAME
2c. MAILING ADDRESS
2d. SEE INSTRUCTIONS
ADD'L INFO RE 12e. TYPE OF ORGANIZATION
ORGANIZATION
DEBTOR
FIRST NAME
CITY
2f. JURISDICTION OF ORGANIZATION
3. SECURED PARTY'S NAME (or NAME of TOTAL ASSIGNEE of ASSIGNOR S /P) insert only gne secured party name (3a or 3b)
3a. ORGANIZATION'S NAME
Goldman Sachs Specialty Lending Group, L.P., as Agent
FILING OFFICE COPY UCC FINANCING STATEMENT (FORM UCC1) (REV. 05/22/02)
MIDDLE NAME
STATE
POSTAL CODE
2g. ORGANIZATIONAL ID if any
SUFFIX
COUNTRY
USA
SUFFIX
COUNTRY
4. This FINANCING STATEMENT covers the following collateral:
Collateral consists of all assets, personal property and/or goods of the Debtor, now owned or hereafter
achquired, 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 applicable]: LESSEE /LESSOR CONSIGNEE /CONSIGNOR BAILEE/BAILOR SELLER /BUYER
6. This FINANCING STATEMENT is to be filed [for record] (or recorded) in the REAL 7, Check to REQUEST SEARCH REPORT(S) on Debtor(s)
E ESTATE RECORDS. Attach Addendum fif applicablel I [ADDITIONAL FEE1 loptionall
8, OPTIONAL FILER REFERENCE DATA
Filed with: WY Lincoln County (65740.2) Debtor Simmons -SLC, LLC
NONE
NONE
AG. LIEN NON -UCC FILING
All Debtors
Debtor 1 u Debtor 2
F #306491
A #450684
OR
11 b. INDIVIDUAL'S LAST NAME
FIRST NAME
MIDDLE NAME
SUFFIX
11c.
MAILING ADDRESS
CITY
STATE
POSTAL CODE
COUNTRY
1ld.
SEE INSTRUCTIONS
ADD'L INFO RE 111e. TYPE OF ORGANIZATION
ORGANIZATION
DEBTOR
11f. JURISDICTION OF ORGANIZATION
11g. ORGANIZATIONAL ID if any
NONE
12.
OR
1 ADDITIONAL SECURED
PARTY'S sL 1 1 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 covers, timber to be cut or as- extracted
collateral, or is filed as a fixture filing.
14. Description of real estate:
Description of real estate appears on "Exhibit
A" attached hereto and incorporated herein by
reference.
15. Name and address of a RECORD OWNER of above described real estate
(if Debtor does not have a record interest):
16. Additional collateral description:
17. Check only if applicable and check only one box.
Debtor is a n Trust or Trustee acting with respect to property held in trust or Decedent's Estate
18. Check only if applicable and check only one box.
II Debtor is a TRANSMITTING UTILITY
II Filed in connection with a Manufactured -Home Transaction
I1 Filed in connection with a Public-Finance Transaction
--1 n..,...... .,.i.,.. s r.....mornial Arimmictratnrs (IACA1
UCC FINANCING STATEMENT ADDENDUM
FOLLOW INSTRUCTIONS front and back) CAREFULLY
9. NAME OF FIRST DEBTOR (la or 1b) ON RELATED FINANCING STATEMENT
OR
9a. ORGANIZATION'S NAME
Simmons -SLC, LLC
9b. INDIVIDUAL'S LAST NAME
10. MISCELLANEOUS:
FIRST NAME
MIDDLE NAME,SUFFIX
11. ADDITIONAL DEBTORS EXACT FULL LEGAL NAME insert only one name (11a or 11b) do not abbreviate or combine names
11a. ORGANIZATION'S NAME
000646
THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY
FILING OFFICE COPY UCC FINANCING STATEMENT ADDENDUM (FORM UCC1Ad) (REV. 05/21/09)
0316246
gXBIBIT A TO
PEED OF TRUST
445433,1
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, 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 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 an internal angle of 180.00°, a distance of 785.40 feet thence North 1156'
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 6° P.M.
PARCEL 2:
COMMENCING at the Northwesterly corner of Block 19 of the First Addition to the
Town of Kenunerer, 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 8458'30" 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.
Kemmerer, WY
Tax Notice Nos. 12-2116-14-1-00-025.00 and 12-2116-14-1-00-025.20
C0014 0
000647