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. DEC-30-2014 14:52 FRASER STRYKER P.03/07 File with Exemption Application FORM Your County forTax Exemption on Real and Personal Property by Qualifying Organizations 451 Assessor Read instructions On reverse sloe, Failure to properly complete or timely file this application will result in a denial of the axe • Ion. Name of Organization County Name I Tax Year Platte River Whooping Crane Maintenance Trust, Inc. Hall i 2015 Name of Owner of Property State Where Incorporated Platte River Whooping Crane Maintenance Trust, Inc. Nebraska Street or Other Mailing Addross of Applicant Total Actual Value of Real and Personal Properly Parcel ID Numair.,r 6611 W Whooping Crane Drive $963,067.00 See Exhibit"A" Gay Slate Zip Code Contact Nemo Phone Number Wood River NE 68883 Chuck Cooper 308-384-4633 Type of Ownership I—1 I I .._..._ Oltretors,or Partners wuurvvv,s.ny,orate,alp leave I See Exhibit"B" Legal description of real property and general description of all depreciable tangible personal pro perty,except licensed motor vencies: See Exhibit "A" f t A[ 2 t r I 9 IQv--19 [l,l J 40 �7i4-VC0J1LffYJY 1 Property described abevO is used in the'allowing exempt Category(please mark the applicable hoses): DEC 3 0 2014 ❑ Agricultural and Horticultural Society ❑ Educational ❑ Religious ®Charitable ❑ Cemetery Give a detailed description of the use of the properly: ' See Exhibit"C" All organizations,except for an Agricultural and Horticultural Society,must complete the blowing questions. J Is allot the properly used exClusivoly as described above? ®YES ❑NO Is the property used for financial gain or profit to either the owner or owner or organization making exclusive use of the properly? , ❑YES iri NO Is a portion of the property used for the sale of alcoholic beverages? ❑YES ®NO If Yee,state the number of hours per week Is the properly owned or used by an organization which discriminates in membership or employment basod on race,color. or national origin? DYES ®NC Under pe law,I declare at I have examined this exemption application and.to the beat of my knowledge and belief,it is correct and complete.I re I am ,authorized to sign option application. Sign ' /1 - President&CEO _ 12-30-2014 here Aug rrzed Signature Tde Date Retain a copy for your records. For Count Assessor's Recommendation 1:1 s Approval COMMENTS: b_ a a, - ❑ Approval of a Pardon a. X Denial Waats _ , , •WI_ . All_-..-:r w' - signobl 1 'unty •ssessor Date For County Soo • of Equalization Use Only _ I declare that tome best of my knowledge and belief,the determination made by the County Board of Equalization is correct pursuant to(ho laws of the State of Nebraska. ❑ Approved COMMENTS: — ❑ Approval of a Portion ® Denied l7 J�, 'I 2 , / _ / 4,-30-4c q! Sign �re of a• nt Board M- '! Dale County Cleric:A legible copy of this form showing the final decision of the County Board of Equalization must be delivered electronically to the Nebraska Department of Revenue within seven days atter the Board's decision. Nebraska Deparbiment of Revenue.Property Assessment Divisors Aurtar�rotl by N W.nave Slat.9S//-202.01 and]]-202.04 ed-195-1969 Rev.1.2011 Supersedes ad-185-12lS Rev.7-2012