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NE Sec of State - Robert B. Evnen <br />Filing Document #: 2112000180-3 Pages: 1 <br />Debtor Name: FLATWATER MATERIALS INC, A CORPORAT <br />Filing Date and Time: 12/02/2021 11:37 AM <br />1.0211024c <br />0'3 <br />--*-- <br />Form 668(Z) <br />(Rev, 10-2000100/ <br />1?489 Department of the Treasury -Internal Revenue Service <br />Certificate of Release of Federal Tax Lien <br />Area: <br />Serial Number <br />For Use by Recording Office <br />SMALL BUSINESS/SELF EMPLOYED AREA #6 <br />Lien Unit Phone: (800) 913-6050 <br />409997820 <br />I certify that the following -named taxpayer, under the requirements of section 6325 (al <br />of the Internal Revenue Code has satisfied the taxes listed below and all statutory <br />additions. Therefore, the lien provided by Code section 6321 for these taxes and <br />additions has been released. The proper officer in the office where the notice of <br />internal revenue tax lien was filed <br />on March 20 <br />2020 <br />, is authorized to note <br />the books to show the release of this lien for <br />these taxes and <br />additions. <br />Name of Taxpayer <br />FLATWATER MATERIALS INC, a Corporation <br />Residence PO BOX 1153 <br />GRAND ISLAND, NE 68802-1153 <br />COURT RECORDING INFORMATION: <br />Liber Page UCC No. Serial No. <br />n/a n/a 2003001229-1 202001798 <br />Tax Period <br />Date of <br />Last Day for <br />Unpaid Balance <br />Kind of Tax <br />Ending <br />Identifying Number <br />Assessment <br />Reflling <br />of Assessment <br />(a) <br />(b) <br />(c) <br />(d) <br />(a) <br />(() <br />2290 <br />07/01/2018 <br />mmM m m m m MM m m m# <br />000000000000: <br />05/13/2019 <br />06/12/2029 <br />2290 <br />07/01/2018 <br />10/14/2019 <br />11/13/2029 <br />336.32 <br />940 <br />12/31/2015 <br />02/03/2020 <br />03/05/2030 <br />451.67 <br />940 <br />12/31/2016 <br />02/03/2020 <br />03/05/2030 <br />86.36 <br />940 <br />12/31/2017 <br />02/03/2020 <br />03/05/2030 <br />80.14 <br />940 <br />12/31/2018 <br />02/03/2020 <br />03/05/2030 <br />73.36 <br />941 <br />12/31/2017 <br />02/03/2020 <br />03/05/2030 <br />6276.07 <br />941 <br />06/30/2018 <br />02/03/2020 <br />03/05/2030 <br />5669.93 <br />941 <br />09/30/2018 <br />02/03/2020 <br />03/05/2030 <br />6052.88 <br />941 <br />12/31/2018 <br />02/03/2020 <br />03/05/2030 <br />6286.80 <br />941 <br />03/31/2019 <br />02/03/2020 <br />03/05/2030 <br />5308.40 <br />941 <br />06/30/2019 <br />02/03/2020 <br />03/05/2030 <br />4611.74 <br />******************** <br />1,************************************'**** <br />Place of Filing <br />Register of Deeds <br />Hall POBOX 1692 Total <br />$ 35233.67 <br />Grand Island, NE 68802-1692 <br />This notice was prepared and signed at CHICAGO, IL , on this, <br />the 29th day of September, 2021 <br />Signature <br />Title <br />Operations Manager, <br />Centralized Lien Operation <br />(NOTE: Certificate of officer authorized by law to take acknowledgments is not essential to the validity of Certificate of Release of <br />Federal Tax lien Rev. Rul. 71-466, 1971 - 2 C.B. 409) Form 668 (Z) IRev. 10.20001 <br />Part I • RECORDING OFFICE CAT. NO 600261 <br />