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STATE TAX LIEN ❑ NEBRASKA DEPARTMENT OF LABOR NDOL Legal Division P.O. Box 94600 Lincoln, NE 68509 -4600 • CONTINUATION Telephone - (402) 471 -9912 FAX - (402) 471 -9917 Employer or Liable Person: Shafer Inc. Address: _ _ 1004 No. Dien Ave. #300 Grand Island NE 68803 NDOL Serial No.: LAB -0169 -2003 To be filed in the State Tax Lien Register maintained by the Re l ister of Deeds in the following Counties: Document Filing No: (10011=00 Hall NDOL Acct. No.: 0287735006 Federal ID No. / SSA No.: 91- 1847680 COUNTY: COUNTY FILING NO.: DATE FILED: ADDITIONAL INFORMATION (if applicable): Hall 0803008440 July 2, 2003 Org. filed Co. July 2, 2003 @ 11:06 #0200308440. 12/31/2012 MON 14:46 FAX 402 471 4429 UCC SECRETARY OF STATE a -.-. Hall 01002 /002 2 0121126! This is a CONTINUATION of an existing lien and serves to continue the lien and priority of the Nebraska Department of Labor on the affected property of this employer or liable person. This CONTINUANCE is filed pursuant to Neb. Rev. Stat. §§48- 657 and 48-664 and the Uniform State Tax Lien Registration & Enforcement Act (Neb. Rev. Stat. §77 -3901, et seq.). The following lien shall be continued for a period of ten years. 1 certify that the Nebraska Department of Labor has complied with the Employment Security Law of the State of Nebraska in the determination of the amount due, and the employer or person has failed to pay the amount due after demand. Date: December 31, 2012 By: T :\ DOCUMENTS \FORMS\Liens \Continuation.docx PO Box 94600 Lincoln NE. 68509 -4500 CATHERINE D. LANG Commissioner of Labor NE Sec of state .+ -- - 9912705613 -3 Pgs: 1 SHAFER INC. Filed: 12/3112012 02:31 PM JO any Legal Counsel S A. UKINSKI, Legal Counsel T� r' RETURN FILED COPIES TO: Nebr. Dept. of Labor -LEGAL NEBR. DEPT. OF LABOR CHARGE ACCT. #14765