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NDOL Serial No.: LAB- 0063 -2016 To be filed with the Register of Deeds in the following Counties: NDOL Acct, No.: 0334798002 Hall Federal ID No. / SSA No.: 20- 3414035 $1,989.83 02/2015 + 6/9/2016 Qtr. / Yr. Date Assessed Combined Tai Or Payment In Lieu Of Contributions Due Penalty Interest Through 6/24/2016 Subtotal 01/2015 6/9/2016 $1,253.79 $0.00 $736.04 $1,989.83 02/2015 + 6/9/2016 5761.16 552.88 $123.46 S 937.50 01/2016 6/9/2016 $1,338.88 $0.00 $36.30 $1,375.18 $ 0.00 $ 0.00 $ 0.00 $ 0.00 $ 0.00 S 0.00 $ 0.00 $ 0.00 $ 0.00 TOTAL Combined Tax or Payment in Lieu of Contributions Due (under this lien only): $4,302.51 Jul. 5. 2016 3:`00PM NE Secretary ct State — UCC Nc P. s a.o, >tA7 ..onr , A. I 9.y 1B77bZ83 — WHEW USA INC. Filed: 07/061 0 2:09 201604142 STATE E 1. AX LII 0 NEBRASKA DEPARTMENT OF LABOR • ORIGINAL NDOL Office of Legal Counsel P.O. Box 94600 Lincoln, NE 68509 -4600 Telephone - (402) 471 -9912 FAX - (402) 471 -9917 Employer or Liable Person: 'Wheatware USA, Inc. d/b /a Wheatware Address: 1201 Allen Drive, Suite 101 Grand Island, NE 68803 IE This State Trot Lien is issued for unpaid combined taxes (Neb. Rev. Stat. 4§48 -657 and 4B - 664) or payments in lieu of contributions (Neb. Rev. Scat. ¢48•660.01) pursuant to Mc Uniform State Tax 1..iep Registration & Enforcement Act (Neb. Rev. Stat. §77 -3901, et seq.). Notice is given that combined taxes or payments in lieu of contributions, interest (computed at 1.5% per month), and penalties are due from this employer or person and remain unpaid after demand. These combined taxes or payments in lieu of contributions constitute a lien for any and all personal property and real propaty in the county /counties named, belonging to the employer or person, whether now owned or hereafter acquired. 1 certify that the Nebraska Department of Labor has complied with the Employment Security Law of the State of Nebraska in the determination of the amount due, and the employer or person has failed to pay the amount due after demand. JOHN H. ALBIN Commissioner of Labor Date: 7/5/2016 T :\DOCUivfENfS\FORMS\Licns \Original licn.docx RETURN FILED COPIES TO: Nebr. Dept. of Labor - LEGAL P.Q. Box 94600 Lincoln, NE 68509 -4600 By: 11)e)tAlg9 KATIE S. TRIJRBER, A General Counsel Agency Y TR.OMAS A. UKINSKI, Legal Counsel DALE M. SIIOTKOSKI, Legal Counsel UCC P11 5TL Pea: 1 NEBR. DEPT. OF LABOR CHARGE ACCT. #14765