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State of Nebraska 6/14/2019 3:53:49 PM PAGE 5/008 Fax Server <br />Form 66$ (Y)(t) <br />17189 <br />NE Sec of State - Robert Evnen <br />Filing Document #: 1906000692-7 Pages• 1 <br />Debtor Name SCIENTIFIC ANALYTICS INC A CORPORAI <br />F i hng Date and Tarte ON14/2019 01 21 PM <br />201903463 <br />Departrnt+rat of the Treasury . Inletnal Revenue Servirr; <br />Notice of Federal Tax Lien <br />Ai -to: <br />::r.r.: I SIN7I. I/291t1F EMPI, )Ytii:; .PRA i.4 <br />Lk:Jo Unit Phone. (300)133903 <br />Serie! hlv:aper <br />316C092819 <br />i- yr Oc:I.Jr,at tilt• by F< ,N-thry Office <br />As provided b.y section 6 f2t, 6122, 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 k remain unpaid.. Therefore, <br />there is a Ilea in favor of the United States on all property and rights to <br />property belonging to this taxpayer for the amount of these cares, and <br />additional penalties, interest, and costs that may acerae. <br />Name of Texp s,+er-St:CIENT1F1C � ,T11LX` ICS INC <br />a Cox porat.ion <br />Rts:donee 2424 S LOCUST ST STE 8 <br />GRAND IFILAND, NE 68$:01..$316 <br />-- <br />IMPORTANT RELEASE INFORMATION: For each rete ,s,Tment 16Fad below, <br />t,r,iess flOtiC2 of x110 ;len is raIited by the date *3IV@n ir, column lei, this ne)tiCe shall• <br />on the day `olt;,wung such d6to, operate os a certifir.ata of ret?grass as Uii?::u+d <br />in ifiC 61325(o . <br />i <br />Kind of Tax <br />(a) <br />Tax Period <br />Ending <br />(k) <br />Identifying Number <br />(c) <br />Date of <br />Assessment <br />(d) <br />Last Day for <br />Refihng <br />(e) <br />Unpaid Balance <br />of Assessment <br />(f) <br />4,11 <br />941 <br />09/30/2017 <br />12/31/201; <br />XX-X.Xr26I99 <br />XX--XXX2899 <br />12/25/2317 <br />04/09/2018 <br />01/24/2028 <br />05/09/2028 <br />9166.03 <br />950.76i <br />Place of Filing <br />Register of. Deeds <br />Hail PC7i3C)X 1.692 TotaS <br />Grand Island, N8 f8802-1692 <br />$ <br />1011e;.79 <br />This notice was prenarect srid so ned at <br />the 23rd datr of Is, ay <br />CHICAGO,. L <br />2C)3.9 <br />. on this, <br />Signature l!% <br />for G.J. CARTER -LOUIS <br />1"i,; e <br />ACS SESE <br />(800) 829-"3903 <br />24-00-0008 <br />(100Th. Certihcatr of officer dex:,ofieed & v isw tc• te!ce ar.'snvvv:..,+arnen; is no: t 6961 4111 t, :.r.-, vx$Gt9ty ,it IIatice ct 6eda!ai Tax lien. <br />Na . Rill_ 71.466. 1977 - 2 C.E. 400/ <br />Fawn 668(Y)(c) iKev. 1-2(Km1 <br />Part t - Kept 8y Recording Mire r p siCi 3Y5x <br />