Case 3:19-bk-30289

Claim 1-2

Filed 07/24/19

Desc Main Document

Page 1 of 30

Fill in this information to identify the case:
Debtor 1

BLACKJEWEL LLC

Debtor 2
(Spouse, if filing)

United States Bankruptcy Court for the: SOUTHERN

District of WEST VIRGINIA
(State)

Case number

3:19-BK-30289

Official Form 410

Proof of Claim

04/19

Read the instructions before filling out this form. This form is for making a claim for payment in a bankruptcy case. Do not use this form to
make a request for payment of an administrative expense. Make such a request according to 11 U.S.C. § 503.
Filers must leave out or redact information that is entitled to privacy on this form or on any attached documents. Attach redacted copies of any
documents that support the claim, such as promissory notes, purchase orders, invoices, itemized statements of running accounts, contracts, judgments,
mortgages, and security agreements. Do not send original documents; they may be destroyed after scanning. If the documents are not available,
explain in an attachment.
A person who files a fraudulent claim could be fined up to $500,000, imprisoned for up to 5 years, or both. 18 U.S.C. §§ 152, 157, and 3571.
Fill in all the information about the claim as of the date the case was filed. That date is on the notice of bankruptcy (Form 309) that you received.

Part 1:

Identify the Claim

1. Who is the current
creditor?

Department of the Treasury - Internal Revenue Service
Name of the current creditor (the person or entity to be paid for this claim)
Other names the creditor used with the debtor

2. Has this claim been
acquired from
someone else?
3. Where should notices
and payments to the
creditor be sent?
Federal Rule of
Bankruptcy Procedure
(FRBP) 2002(g)

No
Yes. From whom?

Where should notices to the creditor be sent?

Where should payments to the creditor be sent? (if
different)

Internal Revenue Service
Name

Internal Revenue Service
Name

P.O. Box 7346
Number

400 N 8th Street, Box 76 M/S ROOM 898
Street

Philadelphia
City
Contact phone

PA
State

Number
19101-7346
ZIP Code

1-800-973-0424

Contact email

Street

Contact phone

23219
ZIP Code

VA
State

Richmond
City

(804) 916-8064

Contact email

Creditor Number: 2675061

Uniform claim identifier for electronic payments in chapter 13 (if you use one)
__ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __

4. Does this claim amend
one already filed?

No
Yes.

Claim number on court claims registry (if known)

1

Filed on:

07/05/2019

MM / DD

5. Do you know if anyone
else has filed a proof
of claim for this claim?

Claim Number: 89

No

Yes. Who made the earlier filing?

/ YYYY

 Case 3:19-bk-30289
Part 2:

Claim 1-2

Filed 07/24/19

Desc Main Document

Page 2 of 30

Give Information About the Claim as of the Date the Case Was Filed

6. Do you have any number
you use to identify the
debtor?
7. How much is the claim?

No
Yes. Last 4 digits of the debtor's account or any number you use to identify the debtor:

$ 16,478,454.88

See Attachment

Does this amount include interest or other charges?
No
Yes. Attach statement itemizing interest, fees, expenses, or other
charges required by Bankruptcy Rule 3001(c)(2)(A).

8. What is the basis of the
claim?

Examples: Goods sold, money loaned, lease, services performed, personal injury or wrongful death, or credit card.
Attach redacted copies of any documents supporting the claim required by Bankruptcy Rule 3001(c).
Limit disclosing information that is entitled to privacy, such as health care information.

Taxes

9. Is all or part of the claim
secured?

No
Yes. The claim is secured by a lien on property.
Nature of property:
Real Estate. If the claim is secured by the debtor's principal residence, file a Mortgage Proof of Claim
Attachment (Official Form 410-A) with this Proof of Claim.
Motor Vehicle
Other. Describe:

*All of debtor(s) right, title and interest to property - 26 U.S.C. §6321.

Basis for perfection:
See Attachment
Attach redacted copies of documents, if any, that show evidence of perfection of a security interest (for
example, a mortgage, lien, certificate of title, financing statement, or other document that shows the lien has
been filed or recorded.)

Value of Property:

$

Amount of the claim that is secured:

$ 10,364,214.11

Amount of the claim that is unsecured:

$ 6,114,240.77

(The sum of the secured and unsecured
amounts should match the amount in line 7.)

Amount necessary to cure any default as of the date of the petition:

$

Annual Interest Rate (when case was filed) 5 %
Fixed
Variable
10. Is this claim based on a
lease?

11. Is this claim subject to a
right of setoff?

No
Yes. Amount necessary to cure any default as of the date of the petition.

No
Yes. Identify the property

See Attachment

$

 Case 3:19-bk-30289
12. Is all or part of the claim
entitled to priority under
11 U.S.C. §507(a)?

Claim 1-2

Filed 07/24/19

Desc Main Document

Page 3 of 30

No
Yes. Check all that apply:
Amount entitled to priority

Domestic support obligations (including alimony and child support) under
11 U.S.C. § 507(a)(1)(A) or (a)(1)(B).

A claim may be partly
priority and partly
nonpriority. For example,
in some categories, the
law limits the amount
entitled to priority.

$

Up to $3,025* of deposits toward purchase, lease, or rental of property or services for
personal, family, or household use. 11 U.S.C. § 507(a)(7).

$

Wages, salaries, or commissions (up to $13,650*) earned within 180 days before the
bankruptcy petition is filed or the debtor's business ends, whichever is earlier.
11 U.S.C. § 507(a)(4).

$

Taxes or penalties owed to governmental units. 11 U.S.C. § 507(a)(8).

$ 3,404,413.11

Contributions to an employee benefit plan. 11 U.S.C. § 507(a)(5).

$

Other. Specify subsection of 11 U.S.C. § 507(a)(__) that applies.

$

*Amounts are subject to adjustment on 4/01/22 and every 3 years after that for cases begun on or after the date of adjustment.

Part 3:

Sign Below

The person completing this Check the appropriate box:
proof of claim must sign
I am the creditor.
and date it.
FRBP 9011(b).
I am the creditor's attorney or authorized agent.
If you file this claim
electronically, FRBP
5005(a)(2) authorizes courts
to establish local rules
specifying what a signature
is.
A person who files a
fraudulent claim could be
fined up to $500,000,
imprisoned for up to 5
years, or both.
18 U.S.C. §§ 152, 157, and
3571.

I am the trustee, or the debtor, or their authorized agent. Bankruptcy Rule 3004.
I am a guarantor, surety, endorser, or other codebtor. Bankruptcy Rule 3005.
I understand that an authorized signature on this Proof of Claim serves as an acknowledgment that when calculating the
amount of the claim, the creditor gave the debtor credit for any payments received toward the debt.
I have examined the information in this Proof of Claim and have a reasonable belief that the information is true
and correct.
I declare under penalty of perjury that the foregoing is true and correct.
Executed on date 07/23/2019
MM / DD / YYYY

/s/ L LORELLO
(Signature)

Print the name of the person who is completing and signing this claim:
Name

LORELLO

L
First name

Middle name

Title

Bankruptcy Specialist

Company

Internal Revenue Service

Last name

Identify the corporate servicer as the company if the authorized agent is a servicer.

Address

400 N 8th Street, Box 76 M/S ROOM 898
Number

Street

Richmond

VA

23219

City

State

ZIP Code

Contact Phone (804) 916-8064

Email:

 Case 3:19-bk-30289

Claim 1-2

Filed 07/24/19

Desc Main Document

Proof of Claim for
Internal Revenue Taxes

Page 4 of 30

Form

410

Attachment
Case Number
3:19-BK-30289

Department of the Treasury/Internal Revenue Service
In the Matter of: BLACKJEWEL LLC
1051 MAIN STREET
MILTON, WV 25541

Type of Bankruptcy Case
CHAPTER 11
Date of Petition
07/01/2019

Amendment No. 1 to Proof of Claim dated 07/03/2019.

The United States has not identified a right of setoff or counterclaim. However, this determination is based on available data and is not
intended to waive any right to setoff against this claim debts owed to this debtor by this or any other federal agency. All rights of setoff
are preserved and will be asserted to the extent lawful.
Secured Claims

(Notices of Federal tax lien filed under internal revenue laws before petition date)

Taxpayer
ID Number

Kind of Tax

Tax
Period

Date Tax
Assessed

XX-XXX0823

WT-FICA

12/31/2017

07/23/2018

$0.00

$626,809.14

XX-XXX0823

EXCISE

12/31/2017

04/23/2018

$1,791,756.67

$475,983.06

$116,049.82 11/30/2018
11/26/2018
11/26/2018
11/26/2018
11/27/2018
11/26/2018
12/03/2018
11/26/2018
11/27/2018
12/16/2018
11/26/2018
11/26/2018
11/27/2018
11/28/2018
11/27/2018
11/27/2018
11/26/2018
11/27/2018
11/26/2018
11/26/2018
$137,661.57 06/04/2018

XX-XXX0823

FUTA

12/31/2017

05/28/2018

$23,910.01

$7,694.10

$1,837.03 07/30/2018

CABELL COUNTY

XX-XXX0823

WT-FICA

03/31/2018

06/04/2018

$0.00

$40,711.34

$2,458.92 07/30/2018

CABELL COUNTY

XX-XXX0823

EXCISE

03/31/2018

06/11/2018

$1,416,253.98

$765,659.60

$92,769.36 07/30/2018

CABELL COUNTY

Tax Due

Penalty to
Petition Date

Page 1 of 3

Interest to
Petition Date

Notice of Tax Lien Filed:
Date
Office Location
MARTIN COUNTY
PERRY COUNTY
LETCHER COUNTY
CLAY COUNTY
PIKE COUNTY
Buchanan County
Lee County
Russell County
Tazewell County
Wise County
FAYETTE COUNTY
KANAWHA COUNTY
MCDOWELL COUNTY
CABELL COUNTY
BELL COUNTY
BREATHITT COUNT
FLOYD COUNTY
HARLAN COUNTY
KNOTT COUNTY
LESLIE COUNTY
CABELL COUNTY

 Case 3:19-bk-30289

Claim 1-2

Filed 07/24/19

Desc Main Document

Proof of Claim for
Internal Revenue Taxes

Form

410

Attachment
Case Number
3:19-BK-30289

Department of the Treasury/Internal Revenue Service
In the Matter of: BLACKJEWEL LLC
1051 MAIN STREET
MILTON, WV 25541

Type of Bankruptcy Case
CHAPTER 11
Date of Petition
07/01/2019

Amendment No. 1 to Proof of Claim dated 07/03/2019.

Secured Claims

Page 5 of 30

(Continued from Page 1)

Taxpayer
ID Number

Kind of Tax

Tax
Period

Date Tax
Assessed

XX-XXX0823

EXCISE

06/30/2018

09/03/2018

XX-XXX0823

EXCISE

09/30/2018

XX-XXX0823

EXCISE

12/31/2018

Tax Due

Penalty to
Petition Date

Interest to
Petition Date

$106,134.69

$174,215.63

12/03/2018

$0.00

$100,816.05

$5,536.01 11/30/2018
11/26/2018
11/26/2018
11/26/2018
11/27/2018
11/26/2018
12/03/2018
11/26/2018
11/27/2018
12/16/2018
11/26/2018
11/26/2018
11/27/2018
11/28/2018
11/27/2018
11/27/2018
11/26/2018
11/27/2018
11/26/2018
11/26/2018
$0.20 04/15/2019

04/01/2019

$4,028,884.89

$347,937.46

$101,134.58 05/03/2019

$7,366,940.24

$2,539,826.38

MARTIN COUNTY
LETCHER COUNTY
PERRY COUNTY
CLAY COUNTY
PIKE COUNTY
Buchanan County
Lee County
Russell County
Tazewell County
Wise County
FAYETTE COUNTY
KANAWHA COUNTY
MCDOWELL COUNTY
CABELL COUNTY
BELL COUNTY
BREATHITT COUNT
FLOYD COUNTY
HARLAN COUNTY
KNOTT COUNTY
LESLIE COUNTY
CABELL COUNTY
CABELL COUNTY

$457,447.49

Total Amount of Secured Claims:
Unsecured Priority Claims

Notice of Tax Lien Filed:
Date
Office Location

$10,364,214.11

under section 507(a)(8) of the Bankruptcy Code

Taxpayer
ID Number

Kind of Tax

Tax Period

XX-XXX0823
XX-XXX0823
XX-XXX0823
XX-XXX0823
XX-XXX0823
XX-XXX0823
XX-XXX0823

EXCISE
EXCISE
EXCISE
EXCISE
WT-FICA
EXCISE
EXCISE

03/31/2016
09/30/2016
12/31/2016
03/31/2017
06/30/2017
06/30/2017
06/30/2017

Date Tax Assessed
1
1
1
1

1

Estimated- SEE NOTE
Estimated- SEE NOTE
Estimated- SEE NOTE
Estimated- SEE NOTE
09/04/2017
09/04/2017
Estimated- SEE NOTE

1 ESTIMATED TAX LIABILITY DUE TO PENDING EXAMINATION OF DEBTOR TAX RETURN.

Page 2 of 3

Tax Due
$1.00
$1.00
$1.00
$1.00
$0.00
$107,204.61
$1.00

Interest to
Petition Date
$0.00
$0.00
$0.00
$0.00
$527.76
$10,702.58
$0.00

 Case 3:19-bk-30289

Claim 1-2

Filed 07/24/19

Desc Main Document

Proof of Claim for
Internal Revenue Taxes

Form

410

Attachment
Case Number
3:19-BK-30289

Department of the Treasury/Internal Revenue Service
In the Matter of: BLACKJEWEL LLC
1051 MAIN STREET
MILTON, WV 25541

Type of Bankruptcy Case
CHAPTER 11
Date of Petition
07/01/2019

Amendment No. 1 to Proof of Claim dated 07/03/2019.

Unsecured Priority Claims

Page 6 of 30

(Continued from Page 2)

Taxpayer
ID Number

Kind of Tax

Tax Period

Date Tax Assessed

XX-XXX0823
XX-XXX0823
XX-XXX0823
XX-XXX0823
XX-XXX0823
XX-XXX0823
XX-XXX0823
XX-XXX0823
XX-XXX0823
XX-XXX0823
XX-XXX0823
XX-XXX0823
XX-XXX0823
XX-XXX0823
XX-XXX0823
XX-XXX0823

WT-FICA
EXCISE
EXCISE
EXCISE
EXCISE
EXCISE
WT-FICA
WT-FICA
FUTA
WT-FICA
EXCISE
WT-FICA
EXCISE
WT-FICA
EXCISE
FUTA

09/30/2017
09/30/2017
09/30/2017
12/31/2017
03/31/2018
06/30/2018
09/30/2018
12/31/2018
12/31/2018
03/31/2019
03/31/2019
06/30/2019
06/30/2019
09/30/2019
09/30/2019
12/31/2019

01/08/2018
12/11/2017
Estimated- SEE NOTE
Estimated- SEE NOTE
Estimated- SEE NOTE
Estimated- SEE NOTE
05/27/2019
04/08/2019
07/08/2019
06/10/2019
06/10/2019
Estimated- SEE NOTE
Estimated- SEE NOTE
Estimated- SEE NOTE
Estimated- SEE NOTE
Estimated- SEE NOTE

1
1
1
1

2
3
2
2
2

Tax Due

Interest to
Petition Date

$1,095,777.08
$668,174.86
$1.00
$1.00
$1.00
$1.00
$11,361.70
$0.00
$3,191.09
$0.00
$610,909.36
$100.00
$671,330.56
$100.00
$100.00
$100.00

$133,952.58
$59,928.91
$0.00
$0.00
$0.00
$0.00
$442.92
$24,175.44
$83.99
$0.00
$6,240.67
$0.00
$0.00
$0.00
$0.00
$0.00

$3,168,358.26

$236,054.85

Total Amount of Unsecured Priority Claims:

$3,404,413.11

Unsecured General Claims
Taxpayer
ID Number

Kind of Tax

Tax Period

Date Tax Assessed

XX-XXX0823
XX-XXX0823

MISC PEN
MISC PEN

12/31/2016
12/31/2016

07/29/2019
08/05/2019

Tax Due

Interest to
Petition Date

$0.00
$0.00

$0.00
$0.00

$0.00

$0.00

Penalty to date of petition on unsecured priority claims (including interest thereon) . . . . . . $2,114,687.66
Penalty to date of petition on unsecured general claims (including interest thereon) . . . . . . $595,140.00

Total Amount of Unsecured General Claims:

$2,709,827.66

1 ESTIMATED TAX LIABILITY DUE TO PENDING EXAMINATION OF DEBTOR TAX RETURN.
2 LIABILITY IS ESTIMATED BASED ON AVAILABLE INFORMATION BECAUSE THE RETURN HAS NOT BEEN FILED. THIS CLAIM MAY BE AMENDED AS NECESSARY AFTER THE DEBTOR FILES THE RETURN
OR PROVIDES OTHER REQUIRED INFORMATION.
3 LIABILITY IS ESTIMATED BASED ON AVAILABLE INFORMATION BECAUSE THE RETURN HAS NOT BEEN FILED. THIS CLAIM MAY BE AMENDED AS NECESSARY AFTER THE DEBTOR FILES THE RETURN
OR PROVIDES OTHER REQUIRED INFORMATION.

Page 3 of 3

 Case 3:19-bk-30289

Claim 1-2

Filed 07/24/19

1872

Desc Main Document

Page 7 of 30

COURT RECORDING DATA

INTERNAL REVENUE SERVICE
FACSIMILE FEDERAL TAX LIEN DOCUMENT
BANKRUPTCY DOCKET: 3:19-BK-30289
Area: SMALL BUSINESS/SELF EMPLOYED #2
Lien Unit Phone: (800) 913-6050

Lien Recorded
:
Recording Number:
UCC Number
:
Liber
:
Page
:

06/04/2018 - 00:00AM
5976128
158
295

IRS Serial Number: 309530918

This Lien Has Been Filed in Accordance with
Internal Revenue Regulation 301.6323(f)-1.
Name of Taxpayer:
BLACKJEWEL LLC

Residence:
1051 MAIN ST
MILTON, WV 25541-0000
With respect to each assessment below, unless notice of lien
is refiled by the date in column(e), this notice shall constitute
the certificate of release of lien as defined in IRC 6325(a).
Form
(a)

Period
(b)

ID Number
(c)

Assessed
(d)

Refile Deadline
(e)

720

12/31/2017

XX-XXX0823

04/23/2018

05/23/2028

Filed at: CLERK OF THE COUNTY COMMISSION
CABELL COUNTY
HUNTINGTON, WV 25701

Unpaid Balance
(f)
$2,015,121.09

Total

$2,015,121.09

This notice was prepared and executed at DETROIT, MI
on this, the 24th day of May, 2018.
Authorizing Official:
JUSTIN M WINTER

Title:
REVENUE OFFICER

22-12-2825

 Case 3:19-bk-30289

Claim 1-2

Filed 07/24/19

1872

Desc Main Document

Page 8 of 30

COURT RECORDING DATA

INTERNAL REVENUE SERVICE
FACSIMILE FEDERAL TAX LIEN DOCUMENT
BANKRUPTCY DOCKET: 3:19-BK-30289
Area: SMALL BUSINESS/SELF EMPLOYED #2
Lien Unit Phone: (800) 913-6050

Lien Recorded
:
Recording Number:
UCC Number
:
Liber
:
Page
:

07/30/2018 - 00:00AM
5982355
158
508

IRS Serial Number: 316925618

This Lien Has Been Filed in Accordance with
Internal Revenue Regulation 301.6323(f)-1.
Name of Taxpayer:
BLACKJEWEL LLC

Residence:
1051 MAIN ST
MILTON, WV 25541-0000
With respect to each assessment below, unless notice of lien
is refiled by the date in column(e), this notice shall constitute
the certificate of release of lien as defined in IRC 6325(a).
Form
(a)

Period
(b)

ID Number
(c)

Assessed
(d)

Refile Deadline
(e)

940
941
720

12/31/2017
03/31/2018
03/31/2018

XX-XXX0823
XX-XXX0823
XX-XXX0823

05/28/2018
06/04/2018
06/11/2018

06/27/2028
07/04/2028
07/11/2028

Filed at: CLERK OF THE COUNTY COMMISSION
CABELL COUNTY
HUNTINGTON, WV 25701

Unpaid Balance
(f)
$28,919.30
$40,828.30
$1,502,686.89

Total

$1,572,434.49

This notice was prepared and executed at DETROIT, MI
on this, the 24th day of July, 2018.
Authorizing Official:
JUSTIN M WINTER

Title:
REVENUE OFFICER

22-12-2825

 Case 3:19-bk-30289

Claim 1-2

Filed 07/24/19

1872

Desc Main Document

Page 9 of 30

COURT RECORDING DATA

INTERNAL REVENUE SERVICE
FACSIMILE FEDERAL TAX LIEN DOCUMENT
BANKRUPTCY DOCKET: 3:19-BK-30289
Area: SMALL BUSINESS/SELF EMPLOYED #2
Lien Unit Phone: (800) 913-6050

Lien Recorded
:
Recording Number:
UCC Number
:
Liber
:
Page
:

04/15/2019 - 00:00AM
6013940
161
131

IRS Serial Number: 349919219

This Lien Has Been Filed in Accordance with
Internal Revenue Regulation 301.6323(f)-1.
Name of Taxpayer:
BLACKJEWEL LLC

Residence:
1051 MAIN ST
MILTON, WV 25541-0000
With respect to each assessment below, unless notice of lien
is refiled by the date in column(e), this notice shall constitute
the certificate of release of lien as defined in IRC 6325(a).
Form
(a)

Period
(b)

ID Number
(c)

Assessed
(d)

Refile Deadline
(e)

720

09/30/2018

XX-XXX0823

12/03/2018

01/02/2029

Filed at: CLERK OF THE COUNTY COMMISSION
CABELL COUNTY
HUNTINGTON, WV 25701

Unpaid Balance
(f)
$99,072.10

Total

This notice was prepared and executed at DETROIT, MI
on this, the 09th day of April, 2019.
Authorizing Official:
JUSTIN M WINTER

Title:
REVENUE OFFICER

22-12-2825

$99,072.10

 Case 3:19-bk-30289

Claim 1-2

Filed 07/24/19

1872

Desc Main Document

Page 10 of 30

COURT RECORDING DATA

INTERNAL REVENUE SERVICE
FACSIMILE FEDERAL TAX LIEN DOCUMENT
BANKRUPTCY DOCKET: 3:19-BK-30289
Area: SMALL BUSINESS/SELF EMPLOYED #2
Lien Unit Phone: (800) 913-6050

Lien Recorded
:
Recording Number:
UCC Number
:
Liber
:
Page
:

05/03/2019 - 00:00AM
6016518
161
270

IRS Serial Number: 355179019

This Lien Has Been Filed in Accordance with
Internal Revenue Regulation 301.6323(f)-1.
Name of Taxpayer:
BLACKJEWEL LLC

Residence:
1051 MAIN ST
MILTON, WV 25541-0000
With respect to each assessment below, unless notice of lien
is refiled by the date in column(e), this notice shall constitute
the certificate of release of lien as defined in IRC 6325(a).
Form
(a)

Period
(b)

ID Number
(c)

Assessed
(d)

Refile Deadline
(e)

720

12/31/2018

XX-XXX0823

04/01/2019

05/01/2029

Filed at: CLERK OF THE COUNTY COMMISSION
CABELL COUNTY
HUNTINGTON, WV 25701

Unpaid Balance
(f)
$4,312,345.10

Total

$4,312,345.10

This notice was prepared and executed at DETROIT, MI
on this, the 26th day of April, 2019.
Authorizing Official:
JUSTIN M WINTER

Title:
REVENUE OFFICER

22-12-2825

 Case 3:19-bk-30289

Claim 1-2

Filed 07/24/19

1872

Desc Main Document

Page 11 of 30

COURT RECORDING DATA

INTERNAL REVENUE SERVICE
FACSIMILE FEDERAL TAX LIEN DOCUMENT
BANKRUPTCY DOCKET: 3:19-BK-30289
Area: SMALL BUSINESS/SELF EMPLOYED #2
Lien Unit Phone: (800) 913-6050

Lien Recorded
:
Recording Number:
UCC Number
:
Liber
:
Page
:

11/26/2018 - 00:00AM
201800012810
9
692

IRS Serial Number: 332805118

This Lien Has Been Filed in Accordance with
Internal Revenue Regulation 301.6323(f)-1.
Name of Taxpayer:
BLACKJEWEL LLC, a Corporation
FKA REVELATION ENERGY LLC
Residence:
1051 MAIN ST
MILTON, WV 25541
With respect to each assessment below, unless notice of lien
is refiled by the date in column(e), this notice shall constitute
the certificate of release of lien as defined in IRC 6325(a).
Form
(a)

Period
(b)

ID Number
(c)

Assessed
(d)

Refile Deadline
(e)

941
720

12/31/2017
06/30/2018

XX-XXX0823
XX-XXX0823

07/23/2018
09/03/2018

08/22/2028
10/03/2028

Filed at: CLERK OF THE COUNTY COMMISSION
FAYETTE COUNTY
FAYETTEVILLE, WV 25840

Unpaid Balance
(f)
$2,751,327.40
$265,383.47

Total

$3,016,710.87

This notice was prepared and executed at DETROIT, MI
on this, the 14th day of November, 2018.
Authorizing Official:
ELIZABETH G GRANADOS

Title:
REVENUE OFFICER

22-12-2827

 Case 3:19-bk-30289

Claim 1-2

Filed 07/24/19

1872

Desc Main Document

Page 12 of 30

COURT RECORDING DATA

INTERNAL REVENUE SERVICE
FACSIMILE FEDERAL TAX LIEN DOCUMENT
BANKRUPTCY DOCKET: 3:19-BK-30289
Area: SMALL BUSINESS/SELF EMPLOYED #2
Lien Unit Phone: (800) 913-6050

Lien Recorded
: 11/26/2018 - 00:00AM
Recording Number:
UCC Number
:
Liber
: 57
Page
: 467
IRS Serial Number: 332805218

This Lien Has Been Filed in Accordance with
Internal Revenue Regulation 301.6323(f)-1.
Name of Taxpayer:
BLACKJEWEL LLC, a Corporation
FKA REVELATION ENERGY LLC
Residence:
1051 MAIN ST
MILTON, WV 25541
With respect to each assessment below, unless notice of lien
is refiled by the date in column(e), this notice shall constitute
the certificate of release of lien as defined in IRC 6325(a).
Form
(a)

Period
(b)

ID Number
(c)

Assessed
(d)

Refile Deadline
(e)

941
720

12/31/2017
06/30/2018

XX-XXX0823
XX-XXX0823

07/23/2018
09/03/2018

08/22/2028
10/03/2028

Filed at: CLERK OF THE COUNTY COMMISSION
KANAWHA COUNTY
CHARLESTON, WV 25301

Unpaid Balance
(f)
$2,751,327.40
$265,383.47

Total

$3,016,710.87

This notice was prepared and executed at DETROIT, MI
on this, the 14th day of November, 2018.
Authorizing Official:
ELIZABETH G GRANADOS

Title:
REVENUE OFFICER

22-12-2827

 Case 3:19-bk-30289

Claim 1-2

Filed 07/24/19

1872

Desc Main Document

Page 13 of 30

COURT RECORDING DATA

INTERNAL REVENUE SERVICE
FACSIMILE FEDERAL TAX LIEN DOCUMENT
BANKRUPTCY DOCKET: 3:19-BK-30289
Area: SMALL BUSINESS/SELF EMPLOYED #2
Lien Unit Phone: (800) 913-6050

Lien Recorded
: 11/27/2018 - 00:00AM
Recording Number:
UCC Number
:
Liber
: 10
Page
: 282
IRS Serial Number: 332805318

This Lien Has Been Filed in Accordance with
Internal Revenue Regulation 301.6323(f)-1.
Name of Taxpayer:
BLACKJEWEL LLC, a Corporation
FKA REVELATION ENERGY LLC
Residence:
1051 MAIN ST
MILTON, WV 25541
With respect to each assessment below, unless notice of lien
is refiled by the date in column(e), this notice shall constitute
the certificate of release of lien as defined in IRC 6325(a).
Form
(a)

Period
(b)

ID Number
(c)

Assessed
(d)

Refile Deadline
(e)

941
720

12/31/2017
06/30/2018

XX-XXX0823
XX-XXX0823

07/23/2018
09/03/2018

08/22/2028
10/03/2028

Filed at: CLERK OF THE COUNTY COMMISSION
MCDOWELL COUNTY
WELCH, WV 24801

Unpaid Balance
(f)
$2,751,327.40
$265,383.47

Total

$3,016,710.87

This notice was prepared and executed at DETROIT, MI
on this, the 14th day of November, 2018.
Authorizing Official:
ELIZABETH G GRANADOS

Title:
REVENUE OFFICER

22-12-2827

 Case 3:19-bk-30289

Claim 1-2

Filed 07/24/19

1872

Desc Main Document

Page 14 of 30

COURT RECORDING DATA

INTERNAL REVENUE SERVICE
FACSIMILE FEDERAL TAX LIEN DOCUMENT
BANKRUPTCY DOCKET: 3:19-BK-30289
Area: SMALL BUSINESS/SELF EMPLOYED #2
Lien Unit Phone: (800) 913-6050

Lien Recorded
:
Recording Number:
UCC Number
:
Liber
:
Page
:

11/28/2018 - 00:00AM
5996601
160
149

IRS Serial Number: 332805418

This Lien Has Been Filed in Accordance with
Internal Revenue Regulation 301.6323(f)-1.
Name of Taxpayer:
BLACKJEWEL LLC, a Corporation
FKA REVELATION ENERGY LLC
Residence:
1051 MAIN ST
MILTON, WV 25541
With respect to each assessment below, unless notice of lien
is refiled by the date in column(e), this notice shall constitute
the certificate of release of lien as defined in IRC 6325(a).
Form
(a)

Period
(b)

ID Number
(c)

Assessed
(d)

Refile Deadline
(e)

941
720

12/31/2017
06/30/2018

XX-XXX0823
XX-XXX0823

07/23/2018
09/03/2018

08/22/2028
10/03/2028

Filed at: CLERK OF THE COUNTY COMMISSION
CABELL COUNTY
HUNTINGTON, WV 25701

Unpaid Balance
(f)
$2,751,327.40
$265,383.47

Total

$3,016,710.87

This notice was prepared and executed at DETROIT, MI
on this, the 14th day of November, 2018.
Authorizing Official:
ELIZABETH G GRANADOS

Title:
REVENUE OFFICER

22-12-2827

 Case 3:19-bk-30289

Claim 1-2

Filed 07/24/19

1872

Desc Main Document

Page 15 of 30

COURT RECORDING DATA

INTERNAL REVENUE SERVICE
FACSIMILE FEDERAL TAX LIEN DOCUMENT
BANKRUPTCY DOCKET: 3:19-BK-30289
Area: SMALL BUSINESS/SELF EMPLOYED #2
Lien Unit Phone: (800) 913-6050

Lien Recorded
: 11/27/2018 - 00:00AM
Recording Number:
UCC Number
:
Liber
: ENC55
Page
: 679
IRS Serial Number: 332805518

This Lien Has Been Filed in Accordance with
Internal Revenue Regulation 301.6323(f)-1.
Name of Taxpayer:
BLACKJEWEL LLC, a Corporation
FKA REVELATION ENERGY LLC
Residence:
1051 MAIN ST
MILTON, WV 25541
With respect to each assessment below, unless notice of lien
is refiled by the date in column(e), this notice shall constitute
the certificate of release of lien as defined in IRC 6325(a).
Form
(a)

Period
(b)

ID Number
(c)

Assessed
(d)

Refile Deadline
(e)

941
720

12/31/2017
06/30/2018

XX-XXX0823
XX-XXX0823

07/23/2018
09/03/2018

08/22/2028
10/03/2028

Filed at: COUNTY CLERK
BELL COUNTY
PINEVILLE, KY 40977

Unpaid Balance
(f)
$2,751,327.40
$265,383.47

Total

$3,016,710.87

This notice was prepared and executed at DETROIT, MI
on this, the 14th day of November, 2018.
Authorizing Official:
ELIZABETH G GRANADOS

Title:
REVENUE OFFICER

22-12-2827

 Case 3:19-bk-30289

Claim 1-2

Filed 07/24/19

1872

Desc Main Document

Page 16 of 30

COURT RECORDING DATA

INTERNAL REVENUE SERVICE
FACSIMILE FEDERAL TAX LIEN DOCUMENT
BANKRUPTCY DOCKET: 3:19-BK-30289
Area: SMALL BUSINESS/SELF EMPLOYED #2
Lien Unit Phone: (800) 913-6050

Lien Recorded
: 11/27/2018 - 00:00AM
Recording Number:
UCC Number
:
Liber
: LP44
Page
: 541
IRS Serial Number: 332805618

This Lien Has Been Filed in Accordance with
Internal Revenue Regulation 301.6323(f)-1.
Name of Taxpayer:
BLACKJEWEL LLC, a Corporation
FKA REVELATION ENERGY LLC
Residence:
1051 MAIN ST
MILTON, WV 25541
With respect to each assessment below, unless notice of lien
is refiled by the date in column(e), this notice shall constitute
the certificate of release of lien as defined in IRC 6325(a).
Form
(a)

Period
(b)

ID Number
(c)

Assessed
(d)

Refile Deadline
(e)

941
720

12/31/2017
06/30/2018

XX-XXX0823
XX-XXX0823

07/23/2018
09/03/2018

08/22/2028
10/03/2028

Filed at: COUNTY CLERK
BREATHITT COUNTY
JACKSON, KY 41339

Unpaid Balance
(f)
$2,751,327.40
$265,383.47

Total

$3,016,710.87

This notice was prepared and executed at DETROIT, MI
on this, the 14th day of November, 2018.
Authorizing Official:
ELIZABETH G GRANADOS

Title:
REVENUE OFFICER

22-12-2827

 Case 3:19-bk-30289

Claim 1-2

Filed 07/24/19

1872

Desc Main Document

Page 17 of 30

COURT RECORDING DATA

INTERNAL REVENUE SERVICE
FACSIMILE FEDERAL TAX LIEN DOCUMENT
BANKRUPTCY DOCKET: 3:19-BK-30289
Area: SMALL BUSINESS/SELF EMPLOYED #2
Lien Unit Phone: (800) 913-6050

Lien Recorded
:
Recording Number:
UCC Number
:
Liber
:
Page
:

11/26/2018 - 00:00AM
5528
93
461

IRS Serial Number: 332805718

This Lien Has Been Filed in Accordance with
Internal Revenue Regulation 301.6323(f)-1.
Name of Taxpayer:
BLACKJEWEL LLC, a Corporation
FKA REVELATION ENERGY LLC
Residence:
1051 MAIN ST
MILTON, WV 25541
With respect to each assessment below, unless notice of lien
is refiled by the date in column(e), this notice shall constitute
the certificate of release of lien as defined in IRC 6325(a).
Form
(a)

Period
(b)

ID Number
(c)

Assessed
(d)

Refile Deadline
(e)

941
720

12/31/2017
06/30/2018

XX-XXX0823
XX-XXX0823

07/23/2018
09/03/2018

08/22/2028
10/03/2028

Filed at: COUNTY COURT CLERK
FLOYD COUNTY
PRESTONSBURG, KY 41653

Unpaid Balance
(f)
$2,751,327.40
$265,383.47

Total

$3,016,710.87

This notice was prepared and executed at DETROIT, MI
on this, the 14th day of November, 2018.
Authorizing Official:
ELIZABETH G GRANADOS

Title:
REVENUE OFFICER

22-12-2827

 Case 3:19-bk-30289

Claim 1-2

Filed 07/24/19

1872

Desc Main Document

Page 18 of 30

COURT RECORDING DATA

INTERNAL REVENUE SERVICE
FACSIMILE FEDERAL TAX LIEN DOCUMENT
BANKRUPTCY DOCKET: 3:19-BK-30289
Area: SMALL BUSINESS/SELF EMPLOYED #2
Lien Unit Phone: (800) 913-6050

Lien Recorded
: 11/27/2018 - 00:00AM
Recording Number:
UCC Number
:
Liber
: 4
Page
: 33
IRS Serial Number: 332805818

This Lien Has Been Filed in Accordance with
Internal Revenue Regulation 301.6323(f)-1.
Name of Taxpayer:
BLACKJEWEL LLC, a Corporation
FKA REVELATION ENERGY LLC
Residence:
1051 MAIN ST
MILTON, WV 25541
With respect to each assessment below, unless notice of lien
is refiled by the date in column(e), this notice shall constitute
the certificate of release of lien as defined in IRC 6325(a).
Form
(a)

Period
(b)

ID Number
(c)

Assessed
(d)

Refile Deadline
(e)

941
720

12/31/2017
06/30/2018

XX-XXX0823
XX-XXX0823

07/23/2018
09/03/2018

08/22/2028
10/03/2028

Filed at: COUNTY COURT CLERK
HARLAN COUNTY
HARLAN, KY 40831

Unpaid Balance
(f)
$2,751,327.40
$265,383.47

Total

$3,016,710.87

This notice was prepared and executed at DETROIT, MI
on this, the 14th day of November, 2018.
Authorizing Official:
ELIZABETH G GRANADOS

Title:
REVENUE OFFICER

22-12-2827

 Case 3:19-bk-30289

Claim 1-2

Filed 07/24/19

1872

Desc Main Document

Page 19 of 30

COURT RECORDING DATA

INTERNAL REVENUE SERVICE
FACSIMILE FEDERAL TAX LIEN DOCUMENT
BANKRUPTCY DOCKET: 3:19-BK-30289
Area: SMALL BUSINESS/SELF EMPLOYED #2
Lien Unit Phone: (800) 913-6050

Lien Recorded
: 11/26/2018 - 00:00AM
Recording Number:
UCC Number
:
Liber
: 32
Page
: 24
IRS Serial Number: 332805918

This Lien Has Been Filed in Accordance with
Internal Revenue Regulation 301.6323(f)-1.
Name of Taxpayer:
BLACKJEWEL LLC, a Corporation
FKA REVELATION ENERGY LLC
Residence:
1051 MAIN ST
MILTON, WV 25541
With respect to each assessment below, unless notice of lien
is refiled by the date in column(e), this notice shall constitute
the certificate of release of lien as defined in IRC 6325(a).
Form
(a)

Period
(b)

ID Number
(c)

Assessed
(d)

Refile Deadline
(e)

941
720

12/31/2017
06/30/2018

XX-XXX0823
XX-XXX0823

07/23/2018
09/03/2018

08/22/2028
10/03/2028

Filed at: COUNTY COURT CLERK
KNOTT COUNTY
HINDMAN, KY 41822

Unpaid Balance
(f)
$2,751,327.40
$265,383.47

Total

$3,016,710.87

This notice was prepared and executed at DETROIT, MI
on this, the 14th day of November, 2018.
Authorizing Official:
ELIZABETH G GRANADOS

Title:
REVENUE OFFICER

22-12-2827

 Case 3:19-bk-30289

Claim 1-2

Filed 07/24/19

1872

Desc Main Document

Page 20 of 30

COURT RECORDING DATA

INTERNAL REVENUE SERVICE
FACSIMILE FEDERAL TAX LIEN DOCUMENT
BANKRUPTCY DOCKET: 3:19-BK-30289
Area: SMALL BUSINESS/SELF EMPLOYED #2
Lien Unit Phone: (800) 913-6050

Lien Recorded
: 11/26/2018 - 00:00AM
Recording Number:
UCC Number
:
Liber
: 2
Page
: 523
IRS Serial Number: 332806018

This Lien Has Been Filed in Accordance with
Internal Revenue Regulation 301.6323(f)-1.
Name of Taxpayer:
BLACKJEWEL LLC, a Corporation
FKA REVELATION ENERGY LLC
Residence:
1051 MAIN ST
MILTON, WV 25541
With respect to each assessment below, unless notice of lien
is refiled by the date in column(e), this notice shall constitute
the certificate of release of lien as defined in IRC 6325(a).
Form
(a)

Period
(b)

ID Number
(c)

Assessed
(d)

Refile Deadline
(e)

941
720

12/31/2017
06/30/2018

XX-XXX0823
XX-XXX0823

07/23/2018
09/03/2018

08/22/2028
10/03/2028

Filed at: COUNTY CLERK
LESLIE COUNTY
HYDEN, KY 41749

Unpaid Balance
(f)
$2,751,327.40
$265,383.47

Total

$3,016,710.87

This notice was prepared and executed at DETROIT, MI
on this, the 14th day of November, 2018.
Authorizing Official:
ELIZABETH G GRANADOS

Title:
REVENUE OFFICER

22-12-2827

 Case 3:19-bk-30289

Claim 1-2

Filed 07/24/19

1872

Desc Main Document

Page 21 of 30

COURT RECORDING DATA

INTERNAL REVENUE SERVICE
FACSIMILE FEDERAL TAX LIEN DOCUMENT
BANKRUPTCY DOCKET: 3:19-BK-30289
Area: SMALL BUSINESS/SELF EMPLOYED #2
Lien Unit Phone: (800) 913-6050

Lien Recorded
: 11/26/2018 - 00:00AM
Recording Number:
UCC Number
:
Liber
: 69
Page
: 704
IRS Serial Number: 332806118

This Lien Has Been Filed in Accordance with
Internal Revenue Regulation 301.6323(f)-1.
Name of Taxpayer:
BLACKJEWEL LLC, a Corporation
FKA REVELATION ENERGY LLC
Residence:
1051 MAIN ST
MILTON, WV 25541
With respect to each assessment below, unless notice of lien
is refiled by the date in column(e), this notice shall constitute
the certificate of release of lien as defined in IRC 6325(a).
Form
(a)

Period
(b)

ID Number
(c)

Assessed
(d)

Refile Deadline
(e)

941
720

12/31/2017
06/30/2018

XX-XXX0823
XX-XXX0823

07/23/2018
09/03/2018

08/22/2028
10/03/2028

Filed at: COUNTY COURT CLERK
LETCHER COUNTY
WHITESBURG, KY 41858

Unpaid Balance
(f)
$2,751,327.40
$265,383.47

Total

$3,016,710.87

This notice was prepared and executed at DETROIT, MI
on this, the 14th day of November, 2018.
Authorizing Official:
ELIZABETH G GRANADOS

Title:
REVENUE OFFICER

22-12-2827

 Case 3:19-bk-30289

Claim 1-2

Filed 07/24/19

1872

Desc Main Document

Page 22 of 30

COURT RECORDING DATA

INTERNAL REVENUE SERVICE
FACSIMILE FEDERAL TAX LIEN DOCUMENT
BANKRUPTCY DOCKET: 3:19-BK-30289
Area: SMALL BUSINESS/SELF EMPLOYED #2
Lien Unit Phone: (800) 913-6050

Lien Recorded
:
Recording Number:
UCC Number
:
Liber
:
Page
:

11/30/2018 - 00:00AM
91192
57
425

IRS Serial Number: 332806218

This Lien Has Been Filed in Accordance with
Internal Revenue Regulation 301.6323(f)-1.
Name of Taxpayer:
BLACKJEWEL LLC, a Corporation
FKA REVELATION ENERGY LLC
Residence:
1051 MAIN ST
MILTON, WV 25541
With respect to each assessment below, unless notice of lien
is refiled by the date in column(e), this notice shall constitute
the certificate of release of lien as defined in IRC 6325(a).
Form
(a)

Period
(b)

ID Number
(c)

Assessed
(d)

Refile Deadline
(e)

941
720

12/31/2017
06/30/2018

XX-XXX0823
XX-XXX0823

07/23/2018
09/03/2018

08/22/2028
10/03/2028

Filed at: COUNTY COURT CLERK
MARTIN COUNTY
INEZ, KY 41224

Unpaid Balance
(f)
$2,751,327.40
$265,383.47

Total

$3,016,710.87

This notice was prepared and executed at DETROIT, MI
on this, the 14th day of November, 2018.
Authorizing Official:
ELIZABETH G GRANADOS

Title:
REVENUE OFFICER

22-12-2827

 Case 3:19-bk-30289

Claim 1-2

Filed 07/24/19

1872

Desc Main Document

Page 23 of 30

COURT RECORDING DATA

INTERNAL REVENUE SERVICE
FACSIMILE FEDERAL TAX LIEN DOCUMENT
BANKRUPTCY DOCKET: 3:19-BK-30289
Area: SMALL BUSINESS/SELF EMPLOYED #2
Lien Unit Phone: (800) 913-6050

Lien Recorded
: 11/26/2018 - 00:00AM
Recording Number:
UCC Number
:
Liber
: 11
Page
: 741
IRS Serial Number: 332806318

This Lien Has Been Filed in Accordance with
Internal Revenue Regulation 301.6323(f)-1.
Name of Taxpayer:
BLACKJEWEL LLC, a Corporation
FKA REVELATION ENERGY LLC
Residence:
1051 MAIN ST
MILTON, WV 25541
With respect to each assessment below, unless notice of lien
is refiled by the date in column(e), this notice shall constitute
the certificate of release of lien as defined in IRC 6325(a).
Form
(a)

Period
(b)

ID Number
(c)

Assessed
(d)

Refile Deadline
(e)

941
720

12/31/2017
06/30/2018

XX-XXX0823
XX-XXX0823

07/23/2018
09/03/2018

08/22/2028
10/03/2028

Filed at: COUNTY COURT CLERK
PERRY COUNTY
HAZARD, KY 41701

Unpaid Balance
(f)
$2,751,327.40
$265,383.47

Total

$3,016,710.87

This notice was prepared and executed at DETROIT, MI
on this, the 14th day of November, 2018.
Authorizing Official:
ELIZABETH G GRANADOS

Title:
REVENUE OFFICER

22-12-2827

 Case 3:19-bk-30289

Claim 1-2

Filed 07/24/19

1872

Desc Main Document

Page 24 of 30

COURT RECORDING DATA

INTERNAL REVENUE SERVICE
FACSIMILE FEDERAL TAX LIEN DOCUMENT
BANKRUPTCY DOCKET: 3:19-BK-30289
Area: SMALL BUSINESS/SELF EMPLOYED #2
Lien Unit Phone: (800) 913-6050

Lien Recorded
:
Recording Number:
UCC Number
:
Liber
:
Page
:

11/26/2018 - 00:00AM
154160
2
25

IRS Serial Number: 332806418

This Lien Has Been Filed in Accordance with
Internal Revenue Regulation 301.6323(f)-1.
Name of Taxpayer:
BLACKJEWEL LLC, a Corporation
FKA REVELATION ENERGY LLC
Residence:
1051 MAIN ST
MILTON, WV 25541
With respect to each assessment below, unless notice of lien
is refiled by the date in column(e), this notice shall constitute
the certificate of release of lien as defined in IRC 6325(a).
Form
(a)

Period
(b)

ID Number
(c)

Assessed
(d)

Refile Deadline
(e)

941
720

12/31/2017
06/30/2018

XX-XXX0823
XX-XXX0823

07/23/2018
09/03/2018

08/22/2028
10/03/2028

Filed at: COUNTY COURT CLERK
CLAY COUNTY
MANCHESTER, KY 40962

Unpaid Balance
(f)
$2,751,327.40
$265,383.47

Total

$3,016,710.87

This notice was prepared and executed at DETROIT, MI
on this, the 14th day of November, 2018.
Authorizing Official:
ELIZABETH G GRANADOS

Title:
REVENUE OFFICER

22-12-2827

 Case 3:19-bk-30289

Claim 1-2

Filed 07/24/19

1872

Desc Main Document

Page 25 of 30

COURT RECORDING DATA

INTERNAL REVENUE SERVICE
FACSIMILE FEDERAL TAX LIEN DOCUMENT
BANKRUPTCY DOCKET: 3:19-BK-30289
Area: SMALL BUSINESS/SELF EMPLOYED #2
Lien Unit Phone: (800) 913-6050

Lien Recorded
:
Recording Number:
UCC Number
:
Liber
:
Page
:

11/27/2018 - 00:00AM
360688
14
216

IRS Serial Number: 332806518

This Lien Has Been Filed in Accordance with
Internal Revenue Regulation 301.6323(f)-1.
Name of Taxpayer:
BLACKJEWEL LLC, a Corporation
FKA REVELATION ENERGY LLC
Residence:
1051 MAIN ST
MILTON, WV 25541
With respect to each assessment below, unless notice of lien
is refiled by the date in column(e), this notice shall constitute
the certificate of release of lien as defined in IRC 6325(a).
Form
(a)

Period
(b)

ID Number
(c)

Assessed
(d)

Refile Deadline
(e)

941
720

12/31/2017
06/30/2018

XX-XXX0823
XX-XXX0823

07/23/2018
09/03/2018

08/22/2028
10/03/2028

Filed at: COUNTY COURT CLERK
PIKE COUNTY
PIKEVILLE, KY 41501

Unpaid Balance
(f)
$2,751,327.40
$265,383.47

Total

$3,016,710.87

This notice was prepared and executed at DETROIT, MI
on this, the 14th day of November, 2018.
Authorizing Official:
ELIZABETH G GRANADOS

Title:
REVENUE OFFICER

22-12-2827

 Case 3:19-bk-30289

Claim 1-2

Filed 07/24/19

1872

Desc Main Document

Page 26 of 30

COURT RECORDING DATA

INTERNAL REVENUE SERVICE
FACSIMILE FEDERAL TAX LIEN DOCUMENT
BANKRUPTCY DOCKET: 3:19-BK-30289
Area: SMALL BUSINESS/SELF EMPLOYED #2
Lien Unit Phone: (800) 913-6050

Lien Recorded
: 11/26/2018 - 00:00AM
Recording Number: 180002205
UCC Number
:
Liber
:
Page
:
IRS Serial Number: 332806618

This Lien Has Been Filed in Accordance with
Internal Revenue Regulation 301.6323(f)-1.
Name of Taxpayer:
BLACKJEWEL LLC, a Corporation
FKA REVELATION ENERGY LLC
Residence:
1051 MAIN ST
MILTON, WV 25541
With respect to each assessment below, unless notice of lien
is refiled by the date in column(e), this notice shall constitute
the certificate of release of lien as defined in IRC 6325(a).
Form
(a)

Period
(b)

ID Number
(c)

Assessed
(d)

Refile Deadline
(e)

941
720

12/31/2017
06/30/2018

XX-XXX0823
XX-XXX0823

07/23/2018
09/03/2018

08/22/2028
10/03/2028

Filed at: Clerk of the Circuit Court
Buchanan County
Grundy, VA 24614

Unpaid Balance
(f)
$2,751,327.40
$265,383.47

Total

$3,016,710.87

This notice was prepared and executed at DETROIT, MI
on this, the 14th day of November, 2018.
Authorizing Official:
ELIZABETH G GRANADOS

Title:
REVENUE OFFICER

22-12-2827

 Case 3:19-bk-30289

Claim 1-2

Filed 07/24/19

1872

Desc Main Document

Page 27 of 30

COURT RECORDING DATA

INTERNAL REVENUE SERVICE
FACSIMILE FEDERAL TAX LIEN DOCUMENT
BANKRUPTCY DOCKET: 3:19-BK-30289
Area: SMALL BUSINESS/SELF EMPLOYED #2
Lien Unit Phone: (800) 913-6050

Lien Recorded
: 12/03/2018 - 00:00AM
Recording Number: 1800801
UCC Number
:
Liber
:
Page
:
IRS Serial Number: 332806718

This Lien Has Been Filed in Accordance with
Internal Revenue Regulation 301.6323(f)-1.
Name of Taxpayer:
BLACKJEWEL LLC, a Corporation
FKA REVELATION ENERGY LLC
Residence:
1051 MAIN ST
MILTON, WV 25541
With respect to each assessment below, unless notice of lien
is refiled by the date in column(e), this notice shall constitute
the certificate of release of lien as defined in IRC 6325(a).
Form
(a)

Period
(b)

ID Number
(c)

Assessed
(d)

Refile Deadline
(e)

941
720

12/31/2017
06/30/2018

XX-XXX0823
XX-XXX0823

07/23/2018
09/03/2018

08/22/2028
10/03/2028

Filed at: Clerk of the Circuit Court
Lee County
Jonesville, VA 24263

Unpaid Balance
(f)
$2,751,327.40
$265,383.47

Total

$3,016,710.87

This notice was prepared and executed at DETROIT, MI
on this, the 14th day of November, 2018.
Authorizing Official:
ELIZABETH G GRANADOS

Title:
REVENUE OFFICER

22-12-2827

 Case 3:19-bk-30289

Claim 1-2

Filed 07/24/19

1872

Desc Main Document

Page 28 of 30

COURT RECORDING DATA

INTERNAL REVENUE SERVICE
FACSIMILE FEDERAL TAX LIEN DOCUMENT
BANKRUPTCY DOCKET: 3:19-BK-30289
Area: SMALL BUSINESS/SELF EMPLOYED #2
Lien Unit Phone: (800) 913-6050

Lien Recorded
: 11/26/2018 - 00:00AM
Recording Number: 180001996
UCC Number
:
Liber
:
Page
:
IRS Serial Number: 332806818

This Lien Has Been Filed in Accordance with
Internal Revenue Regulation 301.6323(f)-1.
Name of Taxpayer:
BLACKJEWEL LLC, a Corporation
FKA REVELATION ENERGY LLC
Residence:
1051 MAIN ST
MILTON, WV 25541
With respect to each assessment below, unless notice of lien
is refiled by the date in column(e), this notice shall constitute
the certificate of release of lien as defined in IRC 6325(a).
Form
(a)

Period
(b)

ID Number
(c)

Assessed
(d)

Refile Deadline
(e)

941
720

12/31/2017
06/30/2018

XX-XXX0823
XX-XXX0823

07/23/2018
09/03/2018

08/22/2028
10/03/2028

Filed at: Clerk of the Circuit Court
Russell County
Lebanon, VA 24266

Unpaid Balance
(f)
$2,751,327.40
$265,383.47

Total

$3,016,710.87

This notice was prepared and executed at DETROIT, MI
on this, the 14th day of November, 2018.
Authorizing Official:
ELIZABETH G GRANADOS

Title:
REVENUE OFFICER

22-12-2827

 Case 3:19-bk-30289

Claim 1-2

Filed 07/24/19

1872

Desc Main Document

Page 29 of 30

COURT RECORDING DATA

INTERNAL REVENUE SERVICE
FACSIMILE FEDERAL TAX LIEN DOCUMENT
BANKRUPTCY DOCKET: 3:19-BK-30289
Area: SMALL BUSINESS/SELF EMPLOYED #2
Lien Unit Phone: (800) 913-6050

Lien Recorded
:
Recording Number:
UCC Number
:
Liber
:
Page
:

11/27/2018 - 00:00AM
180001876
2018
1876

IRS Serial Number: 332806918

This Lien Has Been Filed in Accordance with
Internal Revenue Regulation 301.6323(f)-1.
Name of Taxpayer:
BLACKJEWEL LLC, a Corporation
FKA REVELATION ENERGY LLC
Residence:
1051 MAIN ST
MILTON, WV 25541
With respect to each assessment below, unless notice of lien
is refiled by the date in column(e), this notice shall constitute
the certificate of release of lien as defined in IRC 6325(a).
Form
(a)

Period
(b)

ID Number
(c)

Assessed
(d)

Refile Deadline
(e)

941
720

12/31/2017
06/30/2018

XX-XXX0823
XX-XXX0823

07/23/2018
09/03/2018

08/22/2028
10/03/2028

Filed at: Clerk of the Circuit Court
Tazewell County
Tazewell, VA 24651

Unpaid Balance
(f)
$2,751,327.40
$265,383.47

Total

$3,016,710.87

This notice was prepared and executed at DETROIT, MI
on this, the 14th day of November, 2018.
Authorizing Official:
ELIZABETH G GRANADOS

Title:
REVENUE OFFICER

22-12-2827

 Case 3:19-bk-30289

Claim 1-2

Filed 07/24/19

1872

Desc Main Document

Page 30 of 30

COURT RECORDING DATA

INTERNAL REVENUE SERVICE
FACSIMILE FEDERAL TAX LIEN DOCUMENT
BANKRUPTCY DOCKET: 3:19-BK-30289
Area: SMALL BUSINESS/SELF EMPLOYED #2
Lien Unit Phone: (800) 913-6050

Lien Recorded
: 12/16/2018 - 00:00AM
Recording Number: 201805908
UCC Number
:
Liber
:
Page
:
IRS Serial Number: 332807018

This Lien Has Been Filed in Accordance with
Internal Revenue Regulation 301.6323(f)-1.
Name of Taxpayer:
BLACKJEWEL LLC, a Corporation
FKA REVELATION ENERGY LLC
Residence:
1051 MAIN ST
MILTON, WV 25541
With respect to each assessment below, unless notice of lien
is refiled by the date in column(e), this notice shall constitute
the certificate of release of lien as defined in IRC 6325(a).
Form
(a)

Period
(b)

ID Number
(c)

Assessed
(d)

Refile Deadline
(e)

941
720

12/31/2017
06/30/2018

XX-XXX0823
XX-XXX0823

07/23/2018
09/03/2018

08/22/2028
10/03/2028

Filed at: Clerk of the Circuit Court
Wise County
Wise, VA 24293

Unpaid Balance
(f)
$2,751,327.40
$265,383.47

Total

$3,016,710.87

This notice was prepared and executed at DETROIT, MI
on this, the 14th day of November, 2018.
Authorizing Official:
ELIZABETH G GRANADOS

Title:
REVENUE OFFICER

22-12-2827