UCC FINANCING STATEMENT AMENDMENT Filing Fee: $18 Follow Instructions Carefully A. NAME & PHONE OF CONTACT (optional) B. SEND ACKNOWLEDGMENT TO: (Name and Address) [ ] [ ] ABOVE SPACE FOR FILING OFFICE USE ONLY 1. Initial Financing Statement Information (Required) 1a. Original Filing Number: 1b. Original Filing Date: 1c. If filed prior to January 1, 2000, indicate Original Filing Office: 2. □ Termination:Effectiveness of the Financing Statement identified above is terminated with respect to security interest(s) of the Secured Party authorizing this Termination Statement. 3. □ Continuation: Effectiveness of the Financing Statement identified above with respect to security interest(s) of the Secured Party authorizing this Continuation Statement is continued for the additional period provided by applicable law. 4. □ Assignment: Give name of assignee in item 7a or 7b and address of assignee in item 7c; also give name of assignor in item 9. 5. Amendment (Party Information): This Amendment affects □ Debtor or □ Secured Party of record. Check only one of these two boxes. Also check one of the following three boxes and provide appropriate information in items 6 and/or 7. □ CHANGE name and/or address : Give current record name in item 6a or 6b; also give new name (if name change) in item 7a or 7b and/or new address (if address change) in item 7c. □ DELETE name: Give record name to be deleted in 6a or 6b. □ ADD name: Complete item 7a or 7b, and also item 7c; also complete items 7e-7g (if applicable) 6. CURRENT RECORD INFORMATION: 6a. ORGANIZATION'S NAME OR 6b. INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE NAME SUFFIX FIRST NAME MIDDLE NAME SUFFIX CITY STATE COUNTRY 7. CHANGED (NEW) OR ADDED INFORMATION: 7a. ORGANIZATION'S NAME OR 7b. INDIVIDUAL'S LAST NAME 7c. MAILING ADDRESS ADD'L INFO RE 7e. TYPE OF ORGANIZATION 7f. JURISDICTION OF ORGANIZATION POSTAL CODE 7g. ORGANIZATION ID#, if any ORGANIZATION DEBTOR □ NONE 8. AMENDMENT (COLLATERAL CHANGE): check only one box. Describe collateral □ deleted or □ added, or give entire □ restated collateral description, or describe collateral □ assigned 9. NAME OF SECURED PARTY OF RECORD AUTHORIZING THIS AMENDMENT (name of assignor, if this is an Assignment). If this is an Amendment authorized by a Debtor which adds collateral or adds the authorizing Debtor, or if this is a Termination authorized by a Debtor, check here □ and enter name of DEBTOR authorizing this Amendment 9a. ORGANIZATION'S NAME OR 9b. INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE NAME SUFFIX 10. OPTIONAL FILER REFERENCE DATA NATIONAL UCC FINANCING STATEMENT AMENDMENT (FORM UCC3) - COLORADO (REV 7/18/2007) American LegalNet, Inc. www.FormsWorkflow.com