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07/15/2005 16:35 FAX 14024714429 NEBRASKA UCC <br />W <br />Form 668 M(c) <br />(Rev. February 2004) <br />1$72 <br />Department of the Treasury - Internal Revenue Service <br />Notice of Federal Tax Lien <br />Area: Serial Number <br />SMALL BUSINESS /SELF EMPLOYED AREA 49 236357005 <br />Lien Unit Phone: (800) 913 -6050 <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 penalties) <br />have been assessed against the following -named taxpayer. We have made <br />a demand for payment of this liability, but it 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 AEGIS INC , a Corporation <br />Residence 819 N DIERS AVE <br />GRAND ISLAND, NE 68803 -4956 <br />IMPORTANT RELEASE INFORMATION: For each assessment listed below, <br />unless notice of the lien is Wiled by the date given in column (e), this notice shall, <br />on the day following such date, operate as a certificate of release as defined <br />in IRC 6325(a). <br />Kind of Tax <br />940 <br />.940 <br />941 <br />941 <br />941 <br />941 <br />Tax Period <br />Ending <br />(b)- <br />12/31/2003 <br />12/31/2004 <br />03/31/2004 <br />06/30/2004 <br />09/30/2004 <br />12/31/2004 <br />Date of <br />Identifying Number i Assessment <br />71- 0924021 <br />71- 0924021 <br />71- 0924021 <br />71- 0924021 <br />71- 0924021 <br />71- 0924021 <br />03/07/2005 <br />04/04/2005 <br />03/14/2005 <br />03/21/2005 <br />12/20/2004 <br />03/28/2005 <br />11002/002 <br />For Optional Use by Wecoraing urnce <br />LasR�D�ay lling or <br />rn. <br />I ser of SA &im <br />Pfls � 1 <br />J905403367-6 oRPORRTION <br />PEGS S INC <br />Fllad: 2711512005 02:58 PM <br />200506606 <br />04/06/2015 <br />05/04/2015 <br />04/13/2015 <br />04/20/2015 <br />01/19/2015 <br />04/27/2015 <br />Unpaid Balance <br />of Assessment <br />660.73 <br />3533.17 <br />4205.20 <br />4081.64 <br />5963.86 <br />4087.05 <br />Place of Filing <br />Register of Deeds Total $ 22S31.65 <br />Hall POBOX 1692 <br />Grand Island, NE 68802 -1692 <br />This notice was prepared and signed at <br />ST PAUL, MN , an this, <br />the <br />06th day of July 1 2005 <br />fi- <br />gnature Title 29 -10 -2337 <br />REVENUE OFFICER <br />or MICHAEL W PONTE <br />(308) 384 -6668 <br />(NOTE: Certificate of officer authorized by law to take acknowledgment is not essential to the validity of Notice of Federal Tax lien ' <br />Form 669(Y)(0 (Rev. 2 -2004) pl� <br />-71 AAA 1A71 - 2 G.B. 409) _ -. 7 .in Ann�Fx Y <br />