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Aug. 23. 2015 2:59FM NE Secretary cf 'Mate — UCC <br />Form 668 (Y)(c) <br />(Rev. February 2004) <br />Residence <br />Kind of Tax <br />(a) <br />940 <br />941 <br />Place of Filing <br />Signature <br />Tax Period <br />Ending <br />(b) <br />5216 <br />Area: <br />SMALL BUSINESS /SELF EMPLOYED AREA # <br />Lien Unit Phone: (B00) 913 -6050 <br />12/31/ <br />03/31/2015 <br />Identifying Number <br />(c) <br />XX- XXX8025 <br />XX- XXX8025 <br />the 13th day of August 2015 <br />for PATRICK J KELLOGG <br />Department of the Treasury - Internal Revenue Service <br />Notice of Federal Tax Lien <br />Serial Number <br />As provided by section 6321, 6322, and 6323 of the Internal Revenue <br />Code, we are giving a notice that taxes (including interest and penalties) <br />have been assessed against the following -named taxpayer. We have made <br />a demand For payment of this liability, but it remains unpaid. Therefore, <br />there is a lien in favor of the United States on all property and rights to <br />property belonging to this taxpayer for the amount of these taxes, and <br />additional penalties, interest, and costs that may accrue. <br />Name of Taxpayer TOURNEY BROTHERS METAL FABRICATION <br />LLC <br />PO BOX 39 <br />WOOD RIVER, NE 68883 -0039 <br />IMPORTANT RELEASE INFORMATION: For each assessment listed below, <br />unless notice of the lien is refiled by the date given in column (e), this notice shall, <br />on the day following such data, operate as a certificate of release as defined <br />in !RC 6325(a). <br />Date of <br />Assessment <br />(d) <br />05 /11/2 01 5 <br />07/13/2015 <br />Register of Deeds <br />Hail POBOX 1692 <br />Grand Island, NE 68802 -1692 <br />Part I - Kept By Recording Office <br />171596715 <br />Last Day for <br />Ref hng <br />(e) <br />Title <br />REVENUE OFFICER <br />(308) 663 -6003 <br />NE $c <br />06/10/2025 <br />08/12/2025 <br />Total <br />No. 2410 F. 0/0 <br />Jr J <br />21)151)5924 <br />For Optional Use by Recording Office <br />ar Slate John A dale - UCC CTL <br />- 11 11111 <br />9915760009 -5 Pas 1 <br />TOURNEY BROTHERS METAL FRBRICR <br />Filed: OB/28/2015 02:15 PM <br />Unpaid Balance <br />of Assessment <br />(I) <br />263.51 <br />2707.91 <br />2971.42 <br />This notice was prepared and signed at CHICAGO, IL , on this, <br />24 -06 -2744 <br />(NOTE: Certificate of officer authorized by law to take acknowledgment is not essential to the validity of Notice of Federal Tax lien <br />Rev. Rul. 71 -466, 1971 - 2 C.B. 409) Form 66801(c) (Rev. 2 -20041 <br />CAT. NO 60025X <br />