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r. <br />Nebraska Identification Number <br />9076352 <br />Lien Serial Number <br />04)06/313 <br />Street Address <br />City <br />Mar. 4. 2015 2 :22PM NE Secretary of State — UCC <br />TAX YEARS (corporate, Individual income, and withholding tax only) <br />TAX YEARS (corporate, inchridual Income, and withholding tax only) <br />sign <br />here <br />Prep s ignet <br />oc1 <br />Who Signature <br />Stele <br />209 501303 <br />NG Geo <br />o f <br />No. 9439 P. 5 <br />5401. <br />John <br />0916749927 -6 Pea: 1 <br />006p1, INC. <br />Fllerl; 05/04/2015 01 ;50 AN <br />A G.l• - UCC re4 <br />l <k• a...���= a State Tax Lien Statement of Termination or <br />REVENUE Certificate of Partial Release or <br />LI Urati tie ti011 <br />Pursuant to the 'avenue laws of the State of Nebraska, notice is hereby <br />given that the State Tax Lien which has been duly filed by the Nebraska <br />Department of Revenue against the below -named taxpayer, Is <br />terminated, partially released, or subordinated to the extent indicated <br />below. <br />Social Security Number <br />Federal Identificetlon Number <br />47- 0727144 <br />Lien filed with Date of Lien <br />®Register of Deeds QCounty Cleric 06/07/2004 <br />PLEASE DO NOT wRrrE IN THIS SPACE <br />Tax Category <br />01 <br />County <br />TAXPAYER NAME AND MAIUNO ADDRESS <br />▪ BUSINESS NAME AND LOCATION ADDRESS <br />Buelnesz Name Name <br />GOSAN, INC. OBA SUPER BOWL <br />Street or Mailing Address <br />1010 E Bismark <br />Zip Code ity state zip cone c <br />Grand Island NE • _ 68801 <br />Type of Action <br />TERMINATION OF TAX LIEN. The Stale Tax Lien is hereby Fully terminated. UCC Met Number .....9904337250-2 <br />County Inet Number 200406672 <br />El PARTIAL RELEASE. 'f he State Tax Lien is partially released 05 follows: UCC Instrument Number <br />County Instrument Number <br />El SUBORDINATION. The State Tax Lien is auboldlnaled as follows. UCC Instrument Number <br />Courtly Instrument Number <br />revenue laws <br />I hereby ce e.ra rapartment o e es corripl d <br />determination of the termination, partial release, or subordinetior Indicated above. <br />Revenue gent <br />Title <br />Revenue Senior Agent <br />Title <br />Data <br />Spouse's Social Security Number <br />e tate <br />Hall <br />make in <br />402- 59 -2070 <br />Data ,, <br />4.232-es Rev. 6965uproodre 4 - II:2-09 Rw. ID <br />