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Zo� 2 <br /> 7 LEpWITH Ex� ti n �pp(icatian �oRr� <br /> Y� forTax Ex�mptian on Ffeal an anal Property by Dualifying arganizatians 4�� <br /> NTY AS ESSqFi Ftea a ctions an revdse sid�. <br /> �aifure to properly camplete ar fite this applir n a timely mannsr shalE result in a disapprovat of the exemption. <br /> ��r f C arixation Gounry Gounr�IJo. '(ype of O•r+r:ership <br /> �' ALL CO LIVES`I"�CK IMP A550C H811 40 � P�^�ProtitCci'poratiar. <br /> Staie`�'lSiare Irr,or�nry?ed � �tn�r�upeci'tYl <br /> Str�;et or Qttisr Mailin�ArJdress f <br /> PO BOX 490-�ONNER PARK NEBRASKA <br /> Gity Staie iip Cnds Actual V31ue Parcel or Locatior @ Mu!nhaer <br /> GRAND ISLAND NE 6ggp� 22,399,016 SEE Al"TACHED <br /> Le�al desr:ripiien o`:recl nroperty and�6nera!deseription��f ail tangible parsonal prop�rty,except license•�motor veh!cies: <br /> 5EE ATTACHED <br /> 71C�C Pf��1CBFS� <br /> ���� pirec#ats,or Partners Addr�ss.City,State,Zip Cvda <br /> _•-•--°- -----•-------------•.•._.----��_.-•.r---_.�.�_._T-------•-•••••-..•_ .-••_-_____..�--------�_.•-.•••.---- •�.-•�•-----------------_-••••�•••- <br /> KEN GNADT PRESIDENT 1610 GRETCHEN AVE G LAN <br /> CHUCK B05SELMAN 1ST VICE-PRES 2605 APACHE ROAD GR.AND ISLAND NE 68$01 <br /> KETTH JARDINE 2ND VICE-PRES 122 PONDEKOSA DRIVE, GRAND ZSLAND NE 68803 <br /> STEVE__�UNZMAN_�.-------------- --�����'.��---.-----._ 4I2$__RI_Y.�RS..II�E__DRLLE}-��.A.t�I�__I�LAI�iD_�iE:�fi8$�-1------------•-•------�. <br /> STEVE bOCaDING TREASURER 4417 DRAKE LANE G ISLAND N <br /> Preperty dESCr'ibad r�brrve is used i!r the follou;iri�exe!npt r.�:ter�nry(�ieas�mark the applicabls bcxrs): <br /> �Agr�culturai/Hcricu�iural Socieh/` � Educa4io�ial ❑Religiou� �Charitable �Cemeter� <br /> Givz a detai±Ed description of he use of?h�propeny: <br /> 4-H ACT�VITIES, COMMUNITX ACTIVITIES, PROMOTIONAL ACTIVITSES OF AN EDUCATIONAL OR <br /> CHARZTABLE NATURE, HORSE RACING, AND AGRICULTURAL EVENTS INCLUDING THE HALL COUNTY FAIR, <br /> STATE 4-H HORSE 5HD�7 AND THE NEBRASKA STATE FAIR. <br /> ',�griculturalMarticulturai Snciety does noi need ta complete the lulloeving questions. <br /> Vs all oi Lr1E�]fp(]9!P)�usad�icc;usively aa describ�d a6ov�? �YES �NO <br /> iF a x�arrinr.ai ihe prcprrt}used fur The sa;�of alcehu:ic beuereges? �YwS ❑NO lf Yes,siaie the nurnbr:r n'hours per week <br /> Is the properly awned o�used by ari organizadian which discr�mirates in <br /> membership or empl�_yment based on race,cclor,or naticna�arigin? �YES ❑NO <br /> Undar penalties cf I�ss,1 doclare that I Fave examined this examption a�iicalion and,to the best ot my�knaw:�dge and beliet,it is corract and <br /> comp:etE.I a;so declare that I arn riuly authr}rized ta sipn this e.xernptinn applicatinn. <br /> $j��"g � �c.�,�� � EgECUTIVE VICE-PRESIDENT & CEO 12/20/11 <br /> ���� Au�oriz�d Signature Title Daie <br /> HUGH MINER, JR <br /> ------• -_�__�..��--------•--- -------------------- ----------------- - --•----•-------------•.--•..�.�_------__ <br /> Ft7R Cpl1NTY ASSE850R'S R�CQMME►dDAT3aN <br /> �A�'PHOV!aL CtlNtviE1JT5: � — <br /> L! A?PRUVAL OF A POATIC�N <br /> � ��1�----��� d�- <br /> C DISAPPRCJVAL � <br /> Siqr.alur or ewiiy Ass6�sor ❑ate <br /> -°-•-•••--r------°--°°--------••••----------•-•----- -••-••••-------- -- •--°-----•--°•••••••_••••------ --••-•••••••••-.•------------------------------...••••••-•••••••-••-.•----•°---•-, <br /> �� FpR COUNTY 8QA QF ERUALfZATiON US�CSNLY <br /> i declare tliaf��U IP�P.(:dFI UI R1Y�flf)W�BfJT�°dRC�I]BGP.1,iMly fJF,iP•�ffl:nBGUfI}I.:YEF]j 1%1df�E�7`f;he County F.o:�rd p7 Fyuafiui4ion is cc:rrFCt persi�ant <br /> to,he lav's of the State cf Nebraska. <br /> �APPROVEC7 COMM�NTS: <br /> L••-• A?'PR(J�lP.I.OF A PDii710N <br /> --°---- ----------° ----_-------- .-•__-�•-•.•.-- -----°°°-°•_..�___.� <br /> , <br /> � _� ��i� <br /> C DISAF�PF�04�D <br /> ignar.ure r� Cau t�8r .tl�,1.ml�er {" . ,,,�'��.� ,a "_�` <br /> �'ebrxska Dspx�:mem uf r�evenue w � AUtho:ized 4y fde6.Rav.Stal.§77-i�2,0 i <br /> a-13�-7999Ree�.']-�O10Super�edes95-1357999R8v.17-P�08 D�� � O �D11 <br /> PLEASE MAKE A COPY FORYqUR F�ECORDS �A�y CGUitilY �SSE55�R <br /> GftA[dq 1.�LAPZD,�EBRASKA <br />