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05/12/2011 THU 13:51 FAx 402 471 4429 UCC SECRETARY OF STATE �yy Hall <br />i, <br />� <br />�� ll���i 1�0 <br />�004/004 <br />STATE TAX LIEN o NEBRA.SKA DEPARTMENT OF LABOR �OL Office of Legal Counsel <br />P.O. Bog 94600 <br />Lincoln�, NE 68509-4600 <br />fi ORIGIlVAi. Telephone - (402) 471-9912 <br />FAX - (402) 471-9917 <br />Employer or <br />Liable Person: Global Sustainable Solutions Inc <br />Addre.ss: 1515 East Fourth St. Grand Island NE 68802 <br />NDOL Serial No.: LAB-0102-2011 To be filed with the R' r of Deeds in the followin Connties: <br />NDOL Acct. No,: 0321405003 Hall <br />Fe�leral ID No. / SSA No.: 341982627 <br />This State Tax Lian is issued foy unpaid combined taxes (A►eb. Rev Swt §�48-557 end 48-664) or �ym�ts in lieu of conhibutions (Neb. Rev Stat §48-660A1) pursuant <br />to the Unifntm Staoe T�c Lien Repstration 8c Enforcement Act (Neb. Rex S� §77 3�1, et seg.). Notice is given that combined taxes or payments in lieu of <br />conin'butions, interrst (computed at 1.5% per moath), and pe�nelties ere due fram Wis employer or person end remein unpaid after demend. Thesc combined taxes or <br />payments in 6eu of coMributions constitube a lien for any and all porsonal properiy and ral pmperiy in tha county/couades named, belonging to the employer or person, <br />whether now owned or hereafter acquired. <br />Qtr. / Yr. <br />1/2009 <br />3/2009 <br />Date Assessed <br />4/22/2011 <br />4/22/2011 <br />4/22/2011 <br />$135.90 <br />$0.00 <br />TOTAL Combined Ta� or Paymeat in Lieu of Contri6utions Due (ander this lien only): <br />Interest <br />Penalty Through Subtotal <br />5/7/201 I <br />$0.00 $4938 <br />$25.00 $0.00 <br />$ 185.28 <br />$ 25.00 <br />$ 25.00 <br />$ 0.00 <br />$ 0.00 <br />$ 0.00 <br />$ 0.00 <br />$ 0.00 <br />$ 0.00 <br />$ 0.00 <br />$ 0.00 <br />$ 0.00 <br />S 235.28 <br />I certffy that the Nebraska Departmeat of Labor has complied with the Employment Security Law of the State of Nebraska in the <br />determination of t6e amount due, and the employer or person has failed to pay the amo u after demand. <br />CATHERIN . LAD <br />Date: May I2, 2011 <br />T:IDOCUME1VT51FOTtMSILiensl0riginal I ien.docx <br />Combined Taa Or Payment In Lieu <br />Of Contribut'rons Due <br />�EBIl�T, Agency Legal Connsel <br />A. UKINSI�„ Legal Counsel <br />RETURN FILED COPIES TO: Nebr. Dept, of Labor - LEGAL NEBR DEPT. OF LABOR ; <br />P.O. Box 946op CHARGE ACCT #147 i. <br />Lincold, NE 68509-4600 <br />