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the <br />Jan. 14. 2516 3:25FM NE Secretary of State — UCC 20 600229 No. 4595 P. 2/2 <br />Form 668 (Y)(c) <br />(Rev. February 2004) <br />Area_ <br />SMALL BUSINESS /SELF EMPLOYED AREA #4 <br />Lien Unit Phone: (BOO) 913 -6050 <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 an 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 GIGGLES INC, a Corporation <br />Residence <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 date, operate as a certificate of release as defined <br />in IRC 6325(a). <br />Kind of Tax <br />(a) <br />1120 <br />941 <br />941 <br />Place of Filing <br />This notice was prepared and signed at <br />Signature <br />5216 <br />Tax Period <br />Ending <br />(b) <br />12/31/2014 <br />03/31/2015 <br />06/30/2015 <br />Department of the Treasury - Internal Revenue Service <br />Notice of Federal Tax Lien <br />Identifying Number <br />(c) <br />Serial Number <br />1409 N WEBB RD <br />GRAND ISLAND, NE 68803 -2313 <br />XX- XXX8886 <br />XX- XXX8886 <br />XX- XXX8886 <br />Date of <br />Assessment <br />(d) <br />09/28/2015 <br />11/23/2015 <br />11/23/2015 <br />Register of Deeds <br />Hall POBOX 1692 <br />Grand Island, NE 68802 -1692 <br />22nd day of . December 2 015 <br />CHICAGO, IL <br />19166837.5 <br />Last Day for <br />Refiling <br />(e) <br />10/28/2025 <br />12/23/2025 <br />12/23/2025 <br />Title <br />REVENUE OFFICER <br />(308) 663 -6003 <br />For Optional Use by Recording Office <br />E Sec of C4aea John BGate - UCC FTL <br />9916766760 -5 Pgs <br />GIGGLES INC R CORPORRT ON <br />Filed! 01/14/2016 12:00 PM <br />Unpaid Balance <br />of Assessment <br />(f) <br />2340.00 <br />3944.57 <br />4094.93 <br />Total $ 10379.50 <br />on this, <br />24 -06 -2744, <br />for PATRICK J KELLOGG <br />(NOTE: Certificate of officer authorized by law to take acknowledgment is not essential to the validity of Notice of Federal Tex lien <br />Rev. Rut. 71 -466, 1971 -: 2 C.8. 409) Form 668C0(0 (Rev. 2- 2004�)//� <br />Part 1 - Kent By Recording Office 4---- <br />/•AT nin arv\)KY <br />