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Form668(Y)(c) <br />(Ray. February ZOOS) <br />5216 <br />Department of the Treasury - Internal Revenue Service e <br />,016003( <br />Notice of Federal Tax Lien <br />Area: <br />SMALL BUSINESS /SELF EMPLOYED AREA #4 <br />Lien Unit Phone: (000) 913 - 6050 <br />Serial Number <br />192482215 <br />For Optional Use by Recording Office <br />N E <br />s916766991-4 <br />Flied: <br />Sae <br />of 54aie <br />01 <br />John <br />20 /2 <br />A lo. <br />A C ORPORATIO <br />UCC <br />p s; <br />Fit <br />I <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 k 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 WHEATWAREUSA INC, a Corporation <br />Residence 1201 ALLEN DR STE 101 <br />GRAND ISLAND, NE 68803 -3333 <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 CRC 8325(a). <br />Kind of Tax <br />(a) <br />i <br />Tax Period <br />Ending <br />(b) <br />Identifying Number <br />(c) <br />Date of <br />Assessment <br />(d) <br />Last Day for . <br />Refiling <br />(e) <br />Unpaid Balance <br />of Assessment <br />(f) <br />941 <br />06/30/2015 <br />XX- XXX4035 <br />10/05/2015 <br />11/04/2025 <br />16391,06 <br />Place of Filing <br />Register of Deeds <br />Hall POBOX 1692 Total <br />Grand Island, NE 68802 -1692 <br />$ , 16391.06 <br />the <br />Jan. 20. 2516 3:35PM NE Secretary of State — UCC <br />This notice was prepared and signed at CHICAGO, IL - , on this, <br />30th day of December 2015 <br />Signature <br />for DANIELLE L PLATT <br />Title <br />REVENUE OFFICER <br />(402) 473 -4675 <br />a, 4675 P. 3 <br />24 -06 -2720 <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. 4091 Form b69(lf7(e) (Rev_ 2 -200 c <br />Pm 1 - Kept Recording Office CAT. NO Bo025)� <br />