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Nov. 21. 2016 2:57FM NE Secretary of State — UCC, <br />Form 666 (Y)(c) <br />• (Ray. February 2004) <br />Area: <br />SMALL BUSINESS /SELF EMPLOYED AREA ##4 <br />Lien Unit Phone: (800) 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 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 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 />941 <br />Place of Filing <br />Tax Period <br />Ending <br />(b) <br />11874 <br />1409_ N WEBB RD <br />GRAND ISLAND, NE 68803 -0000 <br />06/30/2016 <br />This notice was prepared and signed at <br />Signature <br />for PATRICK KELLOGG <br />Department of the Treasury - Internal Revenue Service <br />Notice of Federal Tax Lien <br />Identifying Number <br />(c) <br />XX XXX8886 <br />the 08th day of Novetilber 2016 <br />Serial Number <br />Date of <br />Assessment <br />(d) <br />09/19/2016 <br />Register of Deeds <br />Hall POBOX 1692 <br />Grand Island, NE 68802 -1692 <br />Part 1 - Kept By Recording Office <br />237292316 <br />Last Day for <br />Reining <br />(e) <br />1 <br />Title <br />REVENUE OFFICER <br />(308) 663 -6003 <br />2 (1).0) 7 &275 <br />For Optional Use by Recording Office <br />we 6.11 of 5lei0 John <br />p 61110 - uce frt. <br />Pya: 1 <br />99167829 -2 <br />GIGGLES INC A CORPORATI <br />Filed, 1112112016 1014 AM <br />Unpaid Balance <br />of Assessment <br />(0 <br />15602.64 <br />Total $ 15602.64 <br />CHICAGO, IL , on this, <br />24 -06 -3124 <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. Rua. 71 -466, 1971 - 2 C.S. 4 <br />Form 668(Y)(c)(Rev.2 -2004) <br />CAT. NO 60025X <br />