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7a. ORGANIZATION'S NAME
7b. INDIVIDUAL'S SURNAME
INDIVIDUAL'S FIRST PERSONAL NAME
INDIVIDUAL'S ADDITIONAL NAME(S) INITIAL(S)
SUFFIX
7c. MAILING ADDRESS
CITY
STATE
POSTAL CODE
COUNTRY
UCC FINANCING STATEMENT AMENDMENT
FOLLOW INSTRUCTIONS
A. NAME PHONE OF CONTACT AT FILER (optional
Filing Depaitinent
B. E -MAIL CONTACT AT FILER (optional)
Please Return To:
National Corporate Research, Ltd.
194 Washington Avenue, Suite 310
Albany, New York 12210
(800)828 -0938 (518)434 -0938
la. INITIAL FINANCING STATEMENT FILE NUMBER
916246; Book 613 Page 138 02/24/2006
5. PARTY INFORMATION CHANGE:
6. CURRENT RECORD INFORMATION: Complete for Party Information Change provide only one name (6a or 6b)
OR
8. COLLATERAL CHANGE: Also check one of these four boxes: ADD collateral
OR
Indicate collateral:
800 828 -0938
JI
DELETE collateral
10. OPTIONAL FILER REFERENCE DATA:
Filed with: WY Lincoln County; Debtor: SIMMONS -SLC, LLC
977320 7/3/2014 2:53 PM
LINCOLN COUNTY FEES: $18.00 PAGE 1 OF 3
BOOK: 835 PAGE: 566 FINANCE TERMINATION LAND
JEANNE WAGNER, LINCOLN COUNTY CLERK
I I I I I 111 UI II I I I 101 II I I II 10111 H11I 1111111111H1 111110 11111111111
THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY
1b. This FINANCING STATEMENT AMENDMENT is to be filed [for record]
(or recorded) in the REAL ESTATE RECORDS
Filer. attach Amendment Addendum (Form UCC3Ad) and provide Debtor's name in item 13
2. TERMINATION: Effectiveness of the Financing Statement identified above is terminated with respect to the security interest(s) of Secured Party authorizing this Termination
Statement
3. ASSIGNMENT (full or partial): Provide name of Assignee in item 7a or 7b, and address of Assignee in item 7c and name of Assignor in item 9
For partial assignment, complete items 7 and 9 and also indicate affected collateral in item 8
4. CO.NTINUATION: Effectiveness of the Financing Statement identified above with respect to the security interest(s) of Secured Party authorizing this Continuation Statement Is
continued for the additional period provided by applicable law
Check one of these two boxes: AND Check one of these three boxes to:
CHANGE name and/or address: Complete ADD name: Complete item DELETE name: Give record name
This Change affects ❑Debtor or ❑Secured Party of record Item 6a or 6b; and item 7a or 7b and item 7c ❑7a or 7b, and item 7c to be deleted in item 6a or 6b
6a. ORGANIZATION'S NAME
6b. INDIVIDUAL'S SURNAME
FIRST PERSONAL NAME
ADDITIONAL NAME(S) /INITIAL(S)
7. CHANGED OR ADDED INFORMATION: Complete for Assignment or Party Information Change provide only one name (7a or 7b) (use exact, full name; do not omit, modify, or abbreviate any part of the Debtor's name)
RESTATE covered collateral ASSIGN collateral
9. NAME OF SECURED PARTY OF RECORD AUTHORIZING THIS AMENDMENT: Provide only one name (9a or 9b) (name of Assignor, if this is an Assignment)
If this is an Amendment authorized by a DEBTOR, check here and provide name of authorizing Debtor
9a. ORGANIZATION'S NAME
Goldman Sachs Specialty Lending Group, L.P as Agent
9b. INDIVIDUAL'S SURNAME
FIRST PERSONAL NAME
ADDITIONAL NAME(S) /INITIAL(S)
F #434026
A #615605
International Association of Commercial Administrators (IACA)
FILING OFFICE COPY UCC FINANCING STATEMENT AMENDMENT (Form UCC3) (Rev. 04/20/11)
SUFFIX
SUFFIX
11.1
9
12.
OR
OR
UCC FINANCING STATEMENT AMENDMENT ADDENDUM
FOLLOW INSTRUCTIONS
NITIAL FINANCING STATEMENT FILE NUMBER: Same as item la on Amendment form
16246; Book 613 Page 138 02/24/2006
NAME OF PARTY AUTHORIZING THIS AMENDMENT: Same as item 9 on Amendment form
12a. ORGANIZATION'S NAME
Goldman Sachs Specialty Lending Group, L.P., as Agent
12b. INDIVIDUAL'S SURNAME
FIRST PERSONAL NAME
ADDITIONAL NAME(S) /INITIAL(S)
SUFFIX
THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY
13. Name of DEBTOR on related financing statement (Name of a current Debtor of record required for indexing purposes only in some filing offices see Instruction item 13): Provide only
one Debtor name (13a or 13b) (use exact, full name; do not omit, modify, or abbreviate any part of the Debtors name); see Instructions if name does not fit
13a. ORGANIZATIONS NAME
SIMMONS -SLC, LLC
13h. INDIVIDUAL'S SURNAME
FIRST PERSONAL NAME
ADDITIONAL NAME(S)/INITIAL(S)
14. ADDITIONAL SPACE FOR ITEM 8 (Collateral):
15. This FINANCING STATEMENT AMENDMENT:
El covers timber to be cut n covers as- extracted collateral is filed as a fixture filing
16. Name and address of a RECORD OWNER of real estate described in item 17
(if Debtor does not have a record interest):
18. MISCELLANEOUS:
17. Description of real estate:
See attached real estate description.
SUFFIX
International Association of Commercial Administrators (IACA)
FILING OFFICE COPY UCC FINANCING STATEMENT AMENDMENT ADDENDUM (Form UCC3Ad) (Rev. 04/20/11)
EXHIBIT A. TO
PEED OF TRUST
That certain real property situated in Lincoln County, State of Wyoming, more
particularly described as follows:
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.
Kemmerer. WY
445433.1
PARCEL 1:
COMMENCING attheNorthwesterly 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.I4 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 430 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 and an intemal 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.
PARCEL 2:
Tax Notice Nos. 12- 2116- 14 -1 -00- 025.00 and 12- 2116- 14 -1 -00- 025.20
-00140