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202505645 <br />N_ SGAA14A- <br />Good Lre. Coeat Ser-nce. <br />sewn a,e.r w.av«e e <br />NE Sec of State - Robert B. Evnen <br />Filing Document #: 2510000307-6 Pages: 1 <br />Debtor Name: AWARDS PLUS <br />Filing Date and Time: 10/08/2025 09:23 AM <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 demand.These taxes are a 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 will 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 DO NOT WRITE IN THIS SPACE <br />Nebraska ID Number <br />15477894 <br />Federal ID Number <br />922811303 <br />Len Serial Numbs+ <br />12535635 <br />Lien Fled with: <br />BegisterofClew* 0 County Clark <br />Social Security Number <br />NO SSN <br />Spouses Social Security Number <br />NO SPOUSE SSN <br />Date of Lien <br />October 3, 2025 <br />Lien Type: <br />Q Original [Continuation ■ Corrected <br />County <br />HALL <br />Business Name and Location Address <br />Taxpayer Name and Mailing Address <br />AWARDS PLUS <br />4336 MANCHESTER RD <br />GRAND ISLAND NE 68803 <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 />04/01/2023 - 01/31 /2024 <br />05/04/2024 <br />2,200.00 <br />500.00 <br />299.61 <br />.00 <br />2,999.61 <br />Sales <br />02/01/2024 - 03/31/2024 <br />10/01/2025 <br />199.94 <br />161.76 <br />148.36 <br />.00 <br />510.06 <br />Sales <br />04/01/2024 - 04/30/2024 <br />06/02/2025 <br />.00 <br />143.94 <br />91.05 <br />.00 <br />234.99 <br />Sales <br />07/01/2024 - 07/31/2024 <br />10/012024 <br />.00 <br />121.14 <br />3.98 <br />.00 <br />125.12 <br />Sales <br />08/01/2024 - 08/31/2024 <br />11/01/2024 <br />.00 <br />111.78 <br />1.84 <br />.00 <br />113.62 <br />Sales <br />02/01/2025 - 02/28/2025 <br />04/02/2025 <br />.00 <br />112.37 <br />.25 <br />.00 <br />112.62 <br />Sales <br />04/01/2025 - 04/30/2025 <br />06/02/2025 <br />1,339.36 <br />143.94 <br />40.11 <br />.00 <br />1,523.41' <br />Sales <br />05/01/2025 - 06/30/2025 <br />08/01/2025 <br />.00 <br />80.80 <br />2.64 <br />.00 <br />83.44 <br />Sales <br />07/01/2025 - 08/31/2025 <br />10/01/2025 <br />1.217.69 <br />185.91 <br />11.74 <br />.00 <br />1,415.34 <br />Withholding <br />10/01/2023 - 12/31/2023 <br />02/12/2024 <br />916.92 <br />45.85 <br />97.53 <br />.00 <br />1,06030' <br />Total <br />8,178.51' <br />I certify that the Nebraska. Department of Revenue has complied with the laws of the Slate dt Nebraska In determirang the amount shown to be due, <br />and that the taxpayer has failed to pay the amount due after demand. This Notice of Slate Tax lien Is an effectivelien and serves to continue the priority of <br />the States interest in the off ad p arty of the taxpayer. <br />sign <br />here ' Prepare+ <br />Authorized <br />lb <br />Revenue Senior Agent <br />Title <br />Revenue Supervisor <br />Tide <br />10/03/2025 308-535-8294 <br />Dale Phone/Jumper <br />/o <br />Date <br />u.sac-rox Rev. a-201e Suoersaoee a.eae.,ala Rev,b.20n5 <br />