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TO BE FILED WITH Application for Exemp#ion 2011
<br /> ���r�OUNrY from MotorVehicleTaxes FORM
<br /> 7R�ASUR�R by Qualifying Nonprofit Organizations n��
<br /> - - _...—,_ _____•Read instructions on reverse side �
<br /> Applicant'sName ----- _.,.
<br /> _ —,.....� �
<br /> County 7ype pf Ownership
<br /> HALL COUNZ'y LIVFSTOCK IIV�ROVF.MENT ASSQCI,ATION FpI�iNER
<br /> str�et�700. _ _.... ��,..
<br /> - -55 -�—..—_ —.. _.. _.. —_�. �Nonprotit
<br /> PARK County Nurnber Corporation
<br /> r�I'STOLLEY �'AKK RD FQ 130X ��
<br /> 9
<br /> —._ .�.�.
<br /> CitY � --.. 4Q.�.. _.—.. . �Other(specify):
<br /> State Zip Code State Where Incorporated
<br /> �� �SLAI�D NF 6$802
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<br /> . ...—_.�..——_.
<br /> Identify OHicers,Directors,nr P�irtners - -----
<br /> y .__ —
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<br /> TitIePRESIDF.,I�TT NameAddress,cit ,statezipcodeBlLL WE57'F;RING� 2015 W JOHN ST, GPAND ISLAND� N
<br /> — —..
<br /> - . PRESID�,NT � KhN f NADT -- � - -
<br /> - _, 1610 G1tFTCHEN AV, GRAND ISLAND Nh 688Q3 � 8803
<br /> _ — _ _ �.--..
<br /> 2ND VICE Pg�SIllENT CHUCR BOSSFLMAN, 2605 APACHF. ROAD, (,RANT1 ISLAND NE 68801�
<br /> _ �—.,�
<br /> 3KD_VIC�; PRESIIJFNT KEITH JARDINE 122 PONDERbSA DR GRAND ISI,AND NE 68803_
<br /> S E C RE TARY - _—._—�,.
<br /> TOM DINSDAT�1919 TAMAR GRAND ISLAND, NE 688p3 �
<br /> — - —....�_..—_ W
<br /> . _..
<br /> TREASURER ' — ---
<br /> —_.
<br /> -. _ _.,, ...
<br /> STEVE D KUNZMt�N 2408 RIV�RSIDE bR, GRAND tST,AND NE 68801
<br /> _ _ �_.. _——.—_....
<br /> LIST SPECIFIC C7ESCRIPTION OFTHE MOTOR VEMICLES
<br /> •Attach additinnal sheet ii necessary —
<br /> Vettiicle Mako Model Year — pody Type - Vehicle Idcnhfication Nurnber PfuA qu si�t�ior�if Newly�afe
<br /> —. _ _.,.
<br /> _..
<br /> ---.—.—..—_,._—
<br /> SEE ATTACHED L1,ST OF E EMPT VEHIC7� 'S
<br /> —...—.._.—..—
<br /> Natur
<br /> _ _ � —..
<br /> e of Use of Motor Vehicle: - -
<br /> Are the mntor vehicles used
<br /> �Agricultural/Horticultural �Educational �Religious �Charitable �CPmetery exclusively as indicated7
<br /> Give detailed description o1 use,including an explanation if multiple classifications exist: �YES �NO
<br /> 4-H ACTIVITI�S, COMMUN�TY ACTIVITIES, PROMOTTdNAT� ACTIVIT.I�,S OF
<br /> AN EDUCATIONAL OR CHAP.ITABLE NATURE, HORSE RACING, AND AGRICT7I,TUR �fNo,g���������
<br /> EVENTS INCLUDING T'HE HALL COUNTX FAIK, STATE 4–H HORSE SHOW ANb
<br /> THF NEBRASKE, STAT� FAIR
<br /> ' h'�1! 3 D �'Ot�
<br /> __ __ pp.— —._, g ._ g ._—.. MAI
<br /> Under penalties of law,I declare that I have examined lhis a lication and,to the best of m knpwled e nd belisf,iiri"s�oErei€��aFi�OFF'IG�—
<br /> complete.I also declare that I am puly authorized to sign this exemption application,and that the or �inization q Iv�BRASKA
<br /> discriminate in membership or employment based on race,color,nr national origin,
<br /> sign
<br /> ���:$��� EXECUTIVE VTCE PRESI��;NT & C�0 � � � Z � '� / a
<br /> r� ,Authorized Signature �"�-� ----— --
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<br /> 1'itle �..—.,�--
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<br /> _ _ �..
<br /> �ate
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<br /> FOR COUNTY TREA5UR�R'S RECOMMENDA710N — �
<br /> _. _ _ .. J
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<br /> �APPROVAL '
<br /> COMMENTS: v°SS ��j����1,�
<br /> � --— -
<br /> ❑DISAPPROVAL
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<br /> ) 4 �—
<br /> ` �: --���Y�%�v — /l�--�c�a ��,
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<br /> r Signatwe of County7reasurer� �ate "
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<br /> FOR GpUNTY 60ARD OF EpUALIZA710N USE pNLY �'
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<br /> [�APPROVAL � GOMMEN7S: _..�-------...---
<br /> ❑ DISAPPRpVAL , � �
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<br /> , � � _. �
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<br /> � , �� �_- . —.—_—
<br /> A� horized Signaiure �--' - ——
<br /> Date �"
<br /> Nobraska oepenrrient ot Re "���'�� ���--°" �"-"�
<br /> V911ue .. .-. ^�. .
<br /> 96-253-20DG qev.5-2009 Supersedes 96-253-2ppG F1ev.17-2008
<br /> Authurized by Neb.�Rev.StaL§77-202�1)(p)(d),§60-3,185§GO•3,199
<br /> PLEASE MAKE A COPY FOR YOUR R[CORDS
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