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Dec, 13. 2017 3:45FM NE Secretary of State — UCC N0.2931 P. 2/2 <br />Form 668 (Y)(c) <br />(Rev. February 2004) <br />Area: <br />SMALL BUSINESS /SELF EMPLOYED AREA #6 <br />Lien Unit Phone: (Boo) 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 GRAND ISLAND AUTOMOTIVE INC <br />GRAND ISLAND KART & CYCLE <br />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 />the • <br />Signature <br />7561 S LOCUST ST <br />DONIPHAN, NE 68832 <br />Tax Period <br />Ending <br />(b) <br />11874 <br />03/31/2017 <br />Date of <br />Identifying Number Assessment <br />(c) (d) <br />30th day of November 2017 <br />J <br />Department of the Treasury - Internal Revenue Service <br />Notice of Federal Tax Lien <br />Serial Number <br />XX- XXX6508 10/02/2017 <br />Regieter.of Deeds <br />Hall POBOX 1692 <br />Grand Island, NE 68802 -1692 <br />2e8093117 <br />Last Day for <br />Reining <br />(e) <br />11/01/2027 <br />Title <br />REVENUE OFFICER <br />(308) 663 -6003 <br />201708491 <br />For Optional Use by Recording Office <br />N[ <br />S.c cf Stott John A Gala - UCC FTL <br />- <br />111 Iii; <br />!III', 11 <br />.9917803009-1 Pas: 1 <br />GRAND ISLAND AUTO190TIVE INC <br />Filed; 12113/2517 09:35 Ala <br />Total $ <br />Unpaid Balance <br />of Assessment <br />(f) <br />3829.32 <br />3829.32 <br />This notice was prepared and signed at CHICAGO, IL , on this, <br />26- 15-2724 <br />for PATR R J KELLOGG <br />(NOTE: Certificate of officer authorized by lew to take acknowledgment la not essential to the validity of Notice of Federal Tax in <br />Rev. Rul. 71 -466, 1971 - 2 C.B. 409) Form 6680)(c) (Rev. 2 -2004) (t( G5 <br />Part 1 - Kept By Recording Office CAT. NO 60026X I <br />