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UCC FII~ANCING STATEMENT
FOLLOW/NSTRUCTIONS I'ront and back} CAREFULLY
A. NAME & PHONE OF CONTACT AT FILER [optional]
Summer W[yric.k ((877) 311.-8070')
B. SEND ACKNOWLEDGMENT TO: (Name and Ad(lress)
[- Western United Life Assurance Company
Attention: Summer Wiyrick
File No.: 500001854
601 W. 1st Avenue, Department 171000
Spokane, Washington 99201
l'
This document rs belng reeorde~
by Southwest Title Company
J
· ' · RECEIVE
· ' ,' LI~'/OOL/~i OO(JiVT?~ CLERK
.... ""->_PR PAGE [)
THE ABOVE :SPACE IS FOR FILING OFFICE USE ONLY
1. DEBTOR'S EXACT FULL LEGAL NAME - insert only cne debtor r~me (la or lb). do ~0t shinto,sale or LOrraine name~
la. ORGANIZATION'S NAME
Seven C EnterPrises Inc.
OR
lb. ~NDIVIOUAL'S LAST NAM~
lC. MAILING ADDRESS
4692 North 300 West, Suite I00
FIRST NAME
Provo
MIDDLE NAME
STATF- POSTAL CODE
U..T 84606
ld. [ ADD'L INFO RE I lc. TYPE OF ORGANIZATION If. JURISDiCTiON OF'ORGANIZATION lg. ORGANIT..AT QNAL' I0 ~, il any
OR~^N~T.~NmToa I Corporation Wyoming CID 199000262047
2. ADDITIONAL DEBTOR'S EXACT FULL LEGAL NAME - in~en ~niy one Sol, mr r~,l,~ {2a or 2b) - aa not almre,~ate or c~'eine names
2a, ORGANIZATION'S NAME
Speedy Turtle Petroleum, [nc.
OR 2b. INDIVIDUAL'S LAST NAME FIRST NAME
SUFFIX
COUNTRY
USA
F-INeNE
2mMAILINGADDRESS
4692 North 300 West, Suite 100
2d.
ADO'L INFO RE 2e. TYPE OF ORGANIZATION
ORGANIZATION
DE.TO,. I Corporation
CiTY
Provo
2f. J.URISO~CTJON OF ORGANIZATION
Utah
STATE POSTAL CODE --
UT 184606 USA
2g. ORGANIZ'ATIO~AL ID ~. if any
1454940-0142 ['--]NONE
3. SECURED PARTY'S NAME (or NAME of TOTAL ASSIGNEE OF ASSIGNOR S/P) - insert only one secured party name (3a ~ 3b)
3a. ORGANIZATION'S NAME
OR ]Western United Life Assurance COmpany
3b, INDIVIDUAUS LAST NAME
MAILING ADORESS
601 W. Ist Avenue, Department 171000
FIRST NAME
4. This FINANCING STATEMENT covers tl3a [ollOW~ng collateral:
see Exhibit "1" attached hereto and by this reference incorporated herein.
MIDDLE NAME
STA~ POSTAL CODE
IWA 199201
ISUFFIX
COUNTRY --
USA
8. [] This FINANCING STATEMENT I~- Io be flle~ [for rec~3~tI (~- r~ea) in the ~L ~TATE RECO~. } 7.
8~P~ONAL FILER REFERENCE ~TA
401. FILING OFFICE cOPY -- ~a, TJONAL.UCC FINANCING STATEMENT (FORM UCC1) (REV~ 8/02)
[NON.UCC F IL~G
EXHmFr 1
To UCC Financing Statement
All fixtures (in.eluding trade fixtures), appliances, furnishings, and furniture of Debtor(s) located on"'
the real property described on Exhibit "A" attached hereto and incorporated herein by this reference,
whether now owned or hereafter acquired, and whether now existing or hereatter arising, together
with all proceeds including insurance and account proceeds, replacements and accessions to all of
the above.
H:~li~t~M ET~Ab'~ 60~ ~Refln~n~UC C- I A- EX Lwl~ 12/22/02
UCC FINANCING STATEMENT ADDENDUM
, FOLLOW INI~TRUCTIONS ~front and backl CAREFULLY
9. NAME OF FIRST DE!STOR (la or lb) ON RELATED FINANCING STATEMENT
ga. ORGANIZATION'S NAME
Seven C Enterprises Inc.
9b. INDIVIDUAL'S LAST NAME
OR
10. MISCELLANEOUS:
NAME I MIDDLE NAME. SUFFIX
THE ABOVE SPACE IS FO, R FILING OFFICE U,SE ONLY , ,
11. ADDITIONAL DEBTO 'S EXACT FULL LEGAL NAME - tnse~t only one name {1 la or 11 b) - do net abbrewate or cOrn/line names
MIDDLE NAME . J SUFF}X
ISTAT~ POSTAL CODE COUNTRY
11g. ORGANIZATIONAL lO#, ii' =,ny
E]NONE
' 11a, ORGANIZATION'S NAME
t~lb. INDIVIDUAL'S LAST NAME
OR
1~c. MAILING
11d. ] ADO'L INFO RE
ORGANIZATION
DEBTOR
12. [] ADDITIONAL SECURED PARTY'S
t
12a. ORGANIZATION'S NAME
OR 12b. INDIVIDUAL'S LASTNAME
12C. MAILING ADDRESS
TYPE OF ORGANIZATION
FIRST NAME
or E~ ASSIGNOR SIP'S NAME. Instal a~lv on__.~name (12a or
13. This FiNANCiNG STATEMENT covar~ [] lim~er to 0e cut or [] as-exirac',ed
' collateral, or J$ fil~N:l as a [] fixture filing.
14. Descriplion of real estate:
See Exhibit "A" attached hereto and by this
reference incorporated herein.
15. Name and addreas at. a RECORD OWNER or al:ove-desc.qbed real ~lale
(It' Deblor does not have a recorcl interest):
FIRST NAME MIDDLE NAME I SUFFIX
CITY STATE POSTAL CODE. t COUNTRY
16. Additional collalm'al description:
17. Chec~ ~ V applicable ancl chec~ only one
18. C~ack only I/appllcal~te and ~ on~ one box.
E~]De~'ls a TRANSMITTING UTIUTY
'-]Filed in ca~nectlon with a Metm/ac~red41ome Tra~action -- etfec~ve 30 yea~
......... - ........ · .., [] ~ed in cat.eolian With a Publlc.Fln~lce Tra%aclJon ~ erie{live 30 years
402 FILING OFFICE COPY -- NATIONAL UCC FINANCING STATEMENT ADDENDUM (FORM UCC1Ad) (REV, 8/02)
EXHIBIT A
( Wyoming )
707
LOC #1:
The following described real property located in Sweetwater Count, State of Wyoming:
~~
36.50
LOC #3:
The following described real property located in Uinta County, State of Wyoraing:
LOC ~4:
The following described real property located in Lincoln County, State of Wyoming:
~ar~ o.~ Lot. 2 ~:~ ~lm~:~ ~? o~ 'c~ T~i~e mf A~:~, Lincolm C:uncy,
~a~ =f L~ 2 cE Block
~s Xasu 6 2/3 ~;
~h~ North lO