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202503393 <br />NE Sec of State - Robert B. Evnen <br />Filing Document #: 2506000693-7 Pages: 1 <br />Debtor Name: ESSENTIAL FOOD GROUP INC <br />Filing Date and Time: 06/23/2025 10:37 AM <br />Good L tat Great Serena. <br />Notice of State Tax Lien <br />This Notice of State Tax Lien is issued by the Nebraska <br />Department of Revenue for unpaid taxes administered by the Tax <br />Commissioner. Taxes, Including penalties, interest, and costs, <br />which are shown below, are due from the taxpayer and remain <br />unpaid after damand.These taxes area lien for all property located <br />in the county and rights to property owned by the taxpayer or <br />acquired before the expiration of this lien. This lien win expire and <br />become unenforceable 10 years after the date of recording if no <br />continuation statement is recorded on or prior to the expiration of <br />the previous lien or continuation statement <br />PLEASE 00 NET WRITE IN <br />MS SPACE <br />Nebraska ID Number <br />14943646 <br />Federal ID Mamba <br />301286307 <br />Lieu Serial Number <br />12532082 <br />Lien Bled Wit: <br />►,1 Regime* of Deeds ❑county Clerk <br />Social Security Number <br />NO SSN <br />Spouse's S0dial Security Number <br />NO SPOUSE SSN <br />Dale of Lien <br />June 11, 2025 <br />Lien Type: <br />❑Corroded <br />County <br />HALL <br />- t <br />►y Original ❑Continuation <br />Business Name and Location Address <br />axpayer Name and lrtailing <br />ESSENTIAL FOOD GROUP INC <br />9461 CHARLEVILLE BLVD STE 500 <br />BEVERLY HILLS CA 90212 <br />Tax Program <br />Tax Period <br />Date of <br />Assessment <br />Tax <br />Penalty <br />Interest <br />Costs <br />Total Due <br />Sales <br />09/01/2023 - 09/30/2023 <br />10/30/2023 <br />.00 <br />1,820.53 <br />303.74 <br />20.00 <br />2,144.27 <br />Sales <br />10/01/2023- 10/31/2023 <br />12/05/2023 <br />.00 <br />1,870.79 <br />395.12 <br />20.00 <br />2,285.91 <br />Sales <br />01/01/2024 - 01/31/2024 <br />01/13/2025 <br />55,930.82 <br />11,224.85 <br />7,426.70 <br />.00 <br />74,582.37 <br />Sales <br />03/01/2024 - 03/31/2024 <br />03/31/2024 <br />.00 <br />.00 <br />305.62 <br />40.00 <br />345.62 <br />Sales <br />08/01/2024 - 08/31/2024 <br />11/01/2024 <br />.00 <br />00 <br />.00 <br />100.00 <br />100.00 <br />Sales <br />09/01 /2024 - 09/30/2024 <br />10/25/2024 <br />10,591.05 <br />1,789.06 <br />480.52 <br />20.00 <br />12,880.63 <br />Waste Reduction <br />07/01/2023 - 06/30/2024 <br />03/31/2024 <br />25.00 <br />5.00 <br />1.82 <br />.00 <br />31.82 <br />Total <br />92,370.62 <br />sign <br />here <br />I c miry that the Nebraska Department of Revenue has complied with the laws of the State of Nebraska ha determining the amount shown b be due. <br />and that the Lapsyer hes feted to pay the amount due attar demand. This Nakao of State Tax Lien is en OW** lien and sawn to continuo the prlo ty of <br />the Slates interest k. the effected pope ty t `Z4Barr <br />Revenue Agent <br />nee <br />Revenue Senior Agent <br />TmN <br />06/11/2025 402-595-3849 <br />Phoee Number <br />Dale <br />4'd04-1•7/ Rer a4afe aeprMaaa 40M1e7N 44013 <br />