INFORMATION REQUEST UCC-11 Payment is due with request. To access the fee schedule, visit www.sos.state.co.us and select Business Center. Follow Instructions Carefully A. NAME & PHONE OF CONTACT (optional) Submit in Duplicate FILING OFFICE ACCT # B. RETURN TO: (Name and Address) ABOVE SPACE FOR FILING OFFICE USE ONLY 1. DEBTOR NAME to be searched - insert only one debtor name (1a or 1b) - do not abbreviate or combine names 1a. ORGANIZATION'S NAME OR 1b. INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE NAME SUFFIX 2. INFORMATION OPTIONS relating to UCC filings and other notices on file in the filing office that include as a Debtor name the name identified in item 1: (This response includes filings that have lapsed.) 2a. SEARCH RESPONSE REPORT WITH NO COPIES 2b. SEARCH RESPONSE WITH COPIES 2c. SEARCH RESPONSE WITH CERTIFIED COPIES 2d. CERTIFIED COPIES ONLY Record Number Date Record Filed Type of Record and Additional Identifying Information (if required) 3. ADDITIONAL INFORMATION: 4. DELIVERY INSTRUCTIONS (request will be completed and mailed to the address shown in item B unless otherwise instructed here): 4a. Pick Up 4b. Fax to: 4c. Other: FILING OFFICE COPY (1) -- INFORMATION REQUEST (FORM UCC-11) (REV. 6/01/2010) American LegalNet, Inc. www.FormsWorkFlow.com Mail form with correct payment to: Colorado Secretary of State 1700 Broadway Ste 200 Denver, CO 80290 Make checks payable to: Colorado Secretary of State Include a separate check for each form submitted for filing. If a document is rejected, this will allow us to return the check at the time of rejection (if applicable). The document can be corrected and resubmitted with the returned check. Checks must be written for the exact amount or the document may be rejected and returned. Do not include this page with your filing. American LegalNet, Inc. www.FormsWorkFlow.com