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form 668 (Y)(c) <br />(Rev. February 20041 Notice of Federal Tax Lien <br />Area: Serial Number For Optional Use by Recording Office <br />SMALL BUSINESS /SELF EMPLOYED AREA #4 <br />Lien Unit Phone: (900) 913 -6050 203935716 <br />ME Sac v1 Stela _I hn A Gala - UCC FTL <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, - r ill <br />there is a lien in favor of the United States on all property and rights to <br />belonging taxes, 9916771120 -6 PPE: 1 <br />property ging to this taxpayer for the amount of these taxes and FiiedN A CORPORATION <br />PM <br />additional penalties, interest, and costs that may accrue. <br />Name of Taxpayer INC, a Corporation <br />Residence 1016 N DIERS AVE STE 118 <br />GRAND ISLAND, NE 68803 -4974 <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 IBC 6325(a). <br />Tax Period Date of Last Day for Unpaid Balance <br />Kind of Tax Ending Number Assessment Refihng of Assessment <br />(a) ( (d) (e) (0) <br />941 03/31 06/16/2014 07/16/2024 1264.87 <br />941 06/3( 09/22/2014 10/22/2024 3412.24 <br />941 09/3( 01/05/201.5 02/04/2025 2991.35 <br />941 12/37 03/30/2015 04/29/2025 9915.70 <br />941 03/31 06/22/2015 07/22/2025 2646.81 <br />941 06/3( 09/21/2015 10/21/2025 4143.32 <br />941 09/30 01/18/2016 02/17/2026 7754.87 <br />5216 <br />Department of the Treasury - Internal Revenue Service 20160186 <br />m rn cr,a% <br />NrdNr'Nrd <br />0000000 <br />- Mar, 30. 2016 3:29FM NE Secretary of State — UCC <br />Place of Filing <br />Register of Deeds <br />Hall POBOX 1692 <br />Grand Island, NE 68802 -1692 <br />This notice was prepared and signed at CHICAGO IL , on this, <br />the 17th day of March 2016 <br />• <br />for PATRICK J KELLOGG (308) 663 -6003 <br />Signature <br />Title <br />REVENUE OFFICER <br />Total <br />No. 5840 <br />F. 2/2 <br />$ 32129.16 <br />24 -06 -2744 <br />(NOTE: Certificate of officer authorized by law to rake acknowledgment is not essential to the validity of Notice of Federal Tax lien <br />Rev. Rul. 71 -466, 1971 - 2 C.B. 409) Form 669(Y)(c) (Rev. 2.2004) <br />Part 1 - Kept By Recording Office CAT. NO 60025 <br />