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<br />NEBRASKA lJI~--- <br /> <br />@ 002/004 <br /> <br />06/21/2006 16:25 FAX 14024714429 <br /> <br />~ <br /> <br />200605567 <br /> <br />111111\'1'1' <br /> <br />9906458043-1 Pgs. 1 <br />R .. R FOODS LLC <br />Filed: 0&/21/2006 10:16 RM <br /> <br />I <br />I' <br />I <br />I <br /> <br />STATE TAX LIEN. NEBRASKA DEPARTMENT OF LABOR <br />')( ORIGINAL <br /> <br />NDOL Office of Legal Counsel <br />P.O. Box 94600 . <br />Lincoln, NE 68509-4600 <br />Telephone ~ (402) 471-9912' <br />. FAx ~ (402) 471~9917 <br /> <br />Employer Name: R & R Foods LLC f/d/b/a Golden Corral <br />._____~___~".._..._~~.,..........~---~-~y-~n~'........-------..-~.-"-~............__.~.~_~.__~,.....~~~~_.___,~~..,_,_.......++-u~____._.~...._~.___~__,_~,_~~~~____,__,,_~,-<'_'~~Iy__.~.............. <br />._.................-"';""_'~nn" <br />Address: 2435 N. Diers Avenue Grand I.slandNE 68803 <br />NDOL Serial No.: I LAB-0134~2006 To be filed with the Register of Deeds in the following Counties:. <br /> <br />----..:....---.-.-.--..---..-.----- -.-.---..-........--.-----------...-.-- -------.--..-.---.-..-.-.---. _._-~----~-_._------_.__.+. -------~-------_.._._... <br />NDOL Employer Acet. No.: 0304067008 . Hall .' <br /> <br />._____._.__..__.___._________.."-,--__._____ ._._.___..~.___._..__._.___._._____ ..__...._.______...._____._.___ .__.___..._.______,,_.__.______ ....:-.._..__._._______.__e__.___.. <br />Federal ID No, I SSA No.: 37-1482321 '" i . . <br /> <br />This State Tax Lien is issued for unpaid combined taxes (Neb. Rev. Stat. 948~657) or payments in lieu of contributions (Neb. Rev. Stat 948-660.01) pursuant <br />to the Uniform State Tax Lien Registration & Enforcement Act (Ne b. Rev. Stat. 977-3901, et seq.). Notice is given that combined taxes or payments in lieu of <br />contributions, interest (computed at 1.5% per month), and penalties are due from this employer and remain unpaid after demand. These combined taxes or <br />payments in lieu of contributions constitute a lien for any and all personal property and real property in the county/counties llllIlled, belonging to the employer, <br />whether now owned or hereafter acquired. <br /> <br />. i. . Interest <br />. I Combmed Tax Or Payment In Lieu <br />Date Assessed Of C t 'b t' D Penalty Through <br />. . . on rl u Ions ue 6/1512006 <br />I I <br /> <br />~.i=bi~H===-==-;~-4R~~ <br />~=~==~~=~~-j==~~=~=~~~=4==-..~=~~====~==~=:~~~~~==~=~~-=.:=:1:~~=~=:-~~~~=~.f---~~-=~=~~~~=.~~::.::==~!~~~~=: <br />I' , . . $ 0.00 <br /> <br />Qtr. /Yr. <br /> <br />Subtotal <br /> <br />TOTAL Combined Tax or Payment in Lieu of Contributions Due (under this lien only): I $6,476.65 <br /> <br />I certify tha't the Nebraska Department of Labor has complied with the Employment Security Law of the State of Nebraska in the <br />determinatioD ofthe amount due, and the employer has failed to pay the a.....ount due after demand. . <br />FERNANDO LECUONA, III <br />Commissioner of Labor <br /> <br />Date: June 21, 2006 <br /> <br />B:(:. <br /> <br /> <br />Legal Counsel <br />A. UKINSKI, Legal Counsel <br />SELL BARGER, Legal Counsel <br /> <br />RETURN FILED COPIES TO: Nebr. Dept. of Labor- LEGAL <br /> <br />P.o. Box 94600 <br />T .in~f\ln" NlC ~R!'09..4""0 <br /> <br />NEBR DEPT- OF L~.Q~ <br />CHARGE ACCT. #147601 <br />