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11/04/2010 THU 15:38 FAx 402 471 4429 UCC 58CR8TARY pF STATE ��� Hdll <br />� <br />� <br />Forrn db8 (Y)(c) <br />IRev. Fehruary 200d) <br />�jooz�oo� <br />Department of the Treasury - Internal Revenue Service <br />Notice of Federal Tax Lien <br />Area: � Serial Number __ Far Optiona <br />SMALI� BUSTNF'SS/SELF' BMPLOXED AR�A #4 <br />Lien Unit Phone: (soo) 913-60Sp �i2�2asio <br />As pravided by section b3x1, 6322, and b323 af the Internal Revenue <br />Code, w� are giving a ndtice that wxes (including int�erest and penaltiex) <br />have been assessed against the following-named taxpay�i�r. We have made <br />a demand for payment of this [iabt[ity, 6ut it remains unpaid. Therefore, <br />there is a lien in favor oF the (lnited States on afl property and rights ta <br />property be[onging ta this ta�rpayer for the amaunt of �hese taxes, and <br />add�tional penatties, interest, and tasts that may attrue. <br />Name of Taxpayer Hr1SKER H�SPITALITY L L C <br />RIEDY ROB�RT D GEN PTR <br />Residence ��10 � 7.2TH ST <br />LINCOLN�, NE 68521-3528 <br />IMPORTANT RELEASE INFQRMATIQN Fnr each a;ssessment li�ted helow <br />unl�ss notice af the lien is refiled by the date given in calumn (e), this notice $h�ll, <br />on #he day follawing such d�te, operate as a certificate of release as defined <br />in IRC 8325(a). • <br />Tax Period Date of Last Day for <br />Kind af Tax F.�tding �d�ndfying Number Assessment R�fi[ing <br />Use by ReCordin�I Office <br />NE 5�c ef Sta�■ John a 6elr - U[C FrL <br />99108M1Z209-6 Pa:: t <br />HUSKER HOSPITRLITY L L C <br />Fllad: 11/04/2010 01;41 PM <br />Llnpaid Balance <br />af Assessment <br />��x � 0�/30/20�.0� s�-os��o�.9 �0�/2�/20�.0� �a/2�/�0�0 <br />Place of Filing <br />2oioos22s <br />�6�.00 <br />Tatal �$ 3& 7. Q 0 <br />R�gister ot Deeds <br />xaii PQ$ox �s�� <br />Grand Isl NE 688 02-1�92 <br />This natice was prepared and signed at <br />the 2 �� h day of October <br />20].0 <br />CHTCAGO, TL <br />, on this, <br />Signature � Title <br />REVENUE OFFICER 2�4-10-172]. <br />�or ER�C MARTTN (402) 473-4674 <br />(NOTE: Certificate of pfficer authorized by law ta take acknowledgment is not essendal ta the vslidtty uf Nouce of Federal Tax lien <br />Rev. Rul. 71-466, 1971 - 2 C.B. 409) Form bb8(Y)(C) fRev. 2-2004� <br />Part t- ICep! By Recording OFFfc� CAT_ NO 60025X <br />i <br />Y � <br />�r. <br />