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- Aug, 23 2017 4:26FM NE Secretary of State — UCC <br />• <br />Tax Period <br />Ending <br />(b <br />12/31/ <br />09/ <br />p 9 /3 0 � 2016 <br />identifying Number <br />(C <br />- XX779 <br />XXX779 <br />)0779 <br />x _X X77 <br />(d) <br />07/ 03 / 2017 <br />07/0 <br />06/19/ <br />06/19/ <br />0 8/02/2 027 <br />07/19/ <br />07 /19/2027 <br />Kind of Talc. <br />(a <br />For <br />O <br />Use by Recording Office <br />940 <br />941 <br />941 <br />941 <br />Place of Filing <br />11874 <br />pepar h Treasury <br />Interns! Revenue SerV1Ce <br />tment of t e <br />Uen <br />of f Tax <br />form 668 (Y) <br />toev. February 2044 # 4 <br />Area: SELF EMPI-�OYED AREA internal venue <br />Lien U i tPhone:8B0 913 -6050 <br />,323 of the n Revenue <br />Lien p Phone: C t 6322, and 6323 interest and P enal <br />section 632 We have made <br />As p by a n otice that taxes ' named taxpayer. W Therefore, <br />Gave, e e are Ong the following d taxpa unpaid. v <br />against h arty and rights <br />have been assessed ant of this liability, but on alt Prop es, and <br />a er ets° a l e P n fa o f the United Sta th n aii prof these tax <br />there is a lien In favor ayer for accrue. <br />rig to this taXP costs that may LLC <br />additional enal ies, interest, and c° ER <br />ERRY PARK CREATIVE CORN <br />additional P <br />Jame of Taxpayer CH <br />CHEWY STREET 03 415 SOUTH NE 60801 <br />Residence GRAND • ISLAND r <br />A'l'ION: el. this notice shall, <br />rN>FORM For each assessment listed bolo <br />1,EASE the date given in column assessment t li to as defined <br />below, <br />on the d yf o f � Ilan is milled by as a certificate o <br />unless not sucl, date, Last payy for <br />i n the day following pate of Renting IRC 6325te)- ;e55>neRt (e <br />Register of Deeds <br />Hall POBOX 1692 68802_1692 <br />Grazed Island, NE <br />CHICAGO, IL <br />201 705710 <br />Nt ucc "L Sac �� Si. Il.jll <br />Pas, 1 <br />6992 -4 42 PM iL <br />g9177 CRmRTim <br />F i l s , 09123 <br />Fi1ed <br />Total <br />Unpaid UaLance <br />of Assessment <br />(f) <br />32 <br />17651. <br />1780 <br />231 <br />58 946.9E <br />,on1 <br />This notice Was prepared and signed at <br />Augnst 201.7 <br />02nd d of <br />the��� REVENUE OFFICER <br />(308 663 -6003 <br />not essential to the validity of Notice of Federal Tex ' <br />Signature Form 668('1n(c) (8ev- <br />Sig acknowledgment is no CAT. NO 6t <br />KELLOG to take eckn <br />for PATR authorized by K ,_ ..a -- <br />of o fficer e- <br />. r.Prtirycete _ <br />24 -06_ <br />