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May, 2018 4:01FM NE secretary of 'State — UCC <br />Form 668 (Y)(c) <br />mew.5ebruary 2004) <br />Area: <br />SMALL BUSINESS /SELF EMPLOYED AREA #6 <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 CENTRAL NEBRASKA AREA HEALTH <br />EDUCATION CENTER INC <br />a Corporation <br />Residence <br />Kind of Tax <br />(a) <br />941 <br />• <br />the <br />941 <br />941 <br />941 <br />941 <br />941 <br />Place of Filing <br />Signature <br />for COLB <br />11874 <br />Department of the Treasury - Internal Revenue Service <br />Notice of Federal Tax Lien <br />Serial Number <br />3180 W US HIGHWAY 34 <br />GRAND ISLAND, NE 68801 -7279 <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 63251a)- <br />Tax Period <br />Ending <br />(b) <br />09/30/2015 <br />03/31/2016 <br />06/30/2016 <br />09/30/2016 <br />06/30/2017 <br />09/30/2017 <br />05th day of April <br />SCHWAN <br />Identifying Number <br />(c) <br />XX- XXX7261 <br />aleLeiL <br />XX- XXX7261 <br />XX.- XXX7261 <br />XX- XXX7261 <br />XX- XXX7261 <br />XX- XXX7261 <br />2018 <br />Date of <br />Assessment <br />(d) <br />02/26/2018 <br />02/26/2018 <br />02/26/2016 <br />02/26/2018 <br />09/25/2017 <br />12/18/2017 <br />Register of Deeds <br />Hall POBOX 1692 <br />Grand Island, NE 68802 -1692 <br />Part I - Kept By Recording Office <br />303314918 <br />Last Day for <br />Refilling <br />(e) <br />03/27/2028 <br />03/27/2028 <br />03/27/2028 <br />03/27/2028 <br />10/25/2027 <br />01/17/2028 <br />Title <br />REVENUE OFFICER <br />(402) 473-4671 <br />ND. 4250 <br />201802861 <br />For Optional Use by Recording Office <br />NE Sec of 5 ate John P Gal - UCC c,l <br />9918810864 -4 Pas: <br />CENTRAL NEBRASKA RRER HEALTH E <br />Filed: 06/03/2018 02:46 PM <br />• <br />Total $ <br />Unpaid Balance <br />of Assessment <br />(f) <br />2107.25 <br />I <br />2641.37 <br />2475.22 <br />4052.52 <br />340.57 <br />633.56 <br />13012 -95 <br />This notice was prepared and signed at CHICAGO, IL , on this, <br />26 -15 -2722 <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. Rul. 71.466, 1971 - 2 C.B. 409) Form 66B(Y)(c) (Rev. 2 - 2004) <br />CAT. NO 60025X fr- <br />