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DEC-30-2014 14 57 FRASER STRYKER P.03 File with Exemption Application FORM Your County for Tax Exemption on Real and Personal Property by Qualifying Organizations ��sa Assessor Read instructions on reverse aloe, 4,+1 Failure to properly complete or timely file this application will result in a denial of the exemption. Name of Organization County Name Tex Your Platte River Whooping Crane Maintenance Trust, Inc. Hall 2015 Name of Owner of Property Slab where Incorporated Platte River Whooping Crane Maintenance Trust, Inc. Nebraska Street ur Other Mailing Address of Applicant Total Actual Value of Real and Personal Properly Partel ID Number 6611 W Whooping Crane Drive $448,872.00 See Exhibit"A" City State Zip Code Contact Name Phone Number Wood River NE 68883 Chuck Cooper 308-384-4633 Type ofOwnership • ❑Agnoulluml and Horticultural Society ❑educational Organization ❑Religious Organization ®Charitable Organitatiun ❑Cemetery Orgenlzaliori Title of Officers, Name Directors,or Partners Address.City,State,Zip Code See Exhibit"B" • Legal description of real property and general description of all depreciable tangible personal property,except licensed motor vehicles: • See Exhibit"Ae t c"'"9 I%I55 J Oa I ?F -c i; .- r l , • • .a■vo a w¢.,Iuo u¢ue,v+umi m urn ueeu ula properly. • Pursuant to a trust declaration approved by the United States District Court for the District of Nebraska,the property is now owned and being used by the organization to secure and provide critical habitat for Whooping Cranes, Sand Hill Cranes, and other migratory birds. At times, portions of the property lie fallow,and at times portions of the property are used for grazing and cropland, which preserve the land as migratory bird habitat and provide food stock for migratory birds. All organizations,except for gn Agricultural and Horticultural Society,must complete the following questions. Is all of the properly used exclusively as described above? ®YES 0 NO a Is the property nand for financial gain or profit to either the owner or owner or organization Iryylang exclusive use of the property? ❑YES ®NO Is a portion of the properly used for the sale of alcoholic beverages? ............................,........, ❑YES ®NO If Yes,state the number of hours per weak Is the property owned nr used by an organization which discriminates in membership or employment cased on moo.color, n • or national origin?......._..................................._... ............_.......................,.4 YES IN NO Under penalti of law,I aware That I have examined this exemption application and,to the best of my knowledge and belief,it is correct and complete.I aro -ft t am ty authorized to sign this exemption application. sign L 9� .440/9/4-- President&CEO 12-30-2014 here Au razed Signature Title Date Retain a copy for your records.r ^- For County�Assessor's sRRecommendation 7 ❑ Approval COMMENTS: 1- O1L ,� ❑ Approval of a Portion Denial N A • ., , •�� •a _...�_ .!,^-1-11 Signet runty ,sse'sor Date 1 For County B..: • of Equalization Use Only I I declare that to the best el my knowledge and belief,the determination made by the County Board of Equalization is correct pursuant to the laws of the State of Nebraska. ❑ Approved COMMENTS: ❑ Approval of a Portion • Denied Ilea Is :I , i, — 'Tatureo o :,- 1 rd"Prbe Date County Clerk:A legible copy of this form showing the final decision of the County Board at Equalization must be delivered electronically to the Nebraska Department of Revenue within seven days atter the Board's decision. Nebraska DeporImant of Revenue.Properly Assea&Mnt dYixpn anl,Or;zad by Hap Rev Stal.tie 77,202.01 and 77-20204 90.135-1999 Pay.t-2014 Supentedee 9e-1s5-teag Rev,7-20IP