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UIVU 17y4 <br />NE Sec of State - Robert B. Evnen <br />Filing Document #: 1912000483-2 Pages: 1 <br />Debtor Name: PROMPTCARE LLC <br />Filing Date and Time: 12/11/2019 09:19 AM <br />Form 668 (Y)(c) <br />IRev. February 2004) <br />17505 <br />Department of the Treasury - Internal Revenue Service <br />Notice of Federal Tax Lien <br />Area: <br />Serial Number <br />For Optional Use by Recording Office <br />SMALL BUSINESS/SELF EMPLOYED AREA #6 <br />Lien Unit Phone: (800) 913-6050 <br />395711219 <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 penaldes) <br />have been assessed against the following -named taxpayer. We have made <br />a demand for payment of this liability, but k 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 PROMPTCARE LLC <br />Residence 1300 S LOCUST ST <br />GRAND ISLAND, NE 68801-0000 <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 ollowing such date, operate as a certificate of release as defined <br />in IRC 6325(a). <br />Kind of Tax <br />T Ending <br />Identifying Number <br />Assessment of <br />Day <br />�st Re Enfor <br />Unpaid ance <br />ssseument <br />(a) <br />(b) <br />(c) <br />(d) <br />(e) <br />(f) <br />940 <br />12/31/2016 <br />N N N N N N N <br />N N N N N N <br />m m m m m m m <br />0000000 <br />111111 <br />0000000 <br />04/17/2017 <br />05/17/2027 <br />940 <br />12/31/2016 <br />07/01/2019 <br />07/31/2029 <br />6191.23 <br />940 <br />12/31/2018 <br />03/04/2019 <br />04/03/2029 <br />114.06 <br />941 <br />12/31/2016 <br />04/10/2017 <br />05/10/2027 <br />3611.05 <br />941 <br />09/30/2018 <br />12/03/2018 <br />01/02/2029 <br />16999.77 <br />941 <br />12/31/2018 <br />03/04/2019 <br />04/03/2029 <br />13894.67 <br />941 <br />03/31/2019 <br />06/03/2019 <br />07/03/2029 <br />14265.92 <br />Place of Filing <br />Register of Deeds <br />Hall POBOX 1692 Total <br />$ 55076.70 <br />Grand Island, NE 68802-1692 <br />This notice was prepared and signed at CHICAGO, IL <br />the 02nd day of December 2019 <br />on this, <br />Signature <br />for COLBY SCHWAN <br />Title <br />REVENUE OFFICER <br />(402) 473-4671 <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 Tex lien <br />Rev. Rul. 71-466, 1971 2 C.B. 409) Form 668(Y)(c) (Rev. 2-2004) <br />Part 1 - Kept By Recording Office <br />CAT. NO 60025X <br />