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File with Exemption Application FORM <br /> Your County for Tax Exemption on Real and Personal Property by Qualifying Organizations 451 <br /> Assessor Read Instructions on reverse side. <br /> Failure to properly complete or timely file this application will result in a denial of the exemption. <br /> Name of Organization County Name Tax Year <br /> Platte River Whooping Crane Maintenance Trust, Inc. Hall 2016 <br /> Name of Owner of Property State Where Incorporated <br /> Platte River Whooping Crane Maintenance Trust, Inc. Nebraska <br /> Street or Other Mailing Address of Applicant Total Actual Value of Real and Personal Property Parcel ID Number <br /> 6611 Whooping Crane Drive $446,818.00 400218852 <br /> City State Zip Code Contact Name Phone Number <br /> Wood River NE 68883 Charles A. Cooper (308) 384-4633 x 116 <br /> Type of Ownership <br /> ❑Agricultural and Horticultural Society ❑Educational Organization ❑Religious Organization I,Charitable Organization ❑Cemetery Organization <br /> Name Title of Officers, Address,City,State,Zip Code <br /> Directors,or Partners <br /> Van E. Korell Chairman AmFirst Bank, N.A..602 W. "B" St., McCook, NE 69001 <br /> Thomas J. Dougherty Vice Chair 2973 Zachery Drive, Loveland, CO 80537 <br /> Douglas L. Curry Secretary/Treasurer Erickson &Sederstrom PC LLO. 301 S. 13th St.,#400, Lincoln NE 68508 <br /> Legal description of real property and general description of all depreciable tangible personal property,except licensed motor vehicles: <br /> See the attached Exhibit"A." <br /> RECMED <br /> Properly described above is used in the following exempt category(please mark the applicable boxes): DEC 1 3 1 2015 <br /> ❑ Agricultural and Horticultural Society ® Educational ❑ Religious ® Charitable ❑ Cemetery 3 C n <br /> Give a detailed description of the use of the properly: a tonici A'. • kb. SOR <br /> The Platte River Whooping Crane Maintenance Trust, Inc. ("Crane Trust")is a charitable organization dedl prertea i�NS}(A <br /> maintaining critical habitat for Whooping Cranes, Sandhill Cranes,and other migratory birds.The Crane Trust uses the said property <br /> exclusively for this purpose and for related charitable,educational,and scientific purposes.The said property is exempt from taxation under <br /> Neb.Rev. Stat.§77-202(1)(d),among other reasons. <br /> All organizations,except for an Agricultural and Horticultural Society,must complete the following questions. <br /> is all of the property used exclusively as described above? ®YES ❑NO <br /> Is the properly used for financial gain or profit to either the owner or owner or organization making exclusive use of the property? ❑YES ENO <br /> Is a portion of the property used for the sale of alcoholic beverages? ❑YES ®NO <br /> If Yes,state the number of hours per week <br /> Is the property owned or used by an organization which discriminates in membership or employment based on race,color, <br /> or national origin? ❑YES ®NO <br /> Under p4n • s of law,I declare that 1 have examined this exemption application and,to the best of my knowledge and belief,it is correct and <br /> complex decllaaawhat I a duly authorized to sign this exemption application. <br /> sign , o, �/� President and CEO 12/30/2015 <br /> here Authorized Signature Title Date <br /> Retain a copy for your records. <br /> For County/Assessor's Recommendation I^t <br /> ❑ Approval COMMENTS: 7— a C'k-3 <br /> ❑ Approval of a Portion — <br /> r 1 <br /> /XLDenial k---/Q \--ca \— k6-3 <br /> Signature f unty ssessor Date <br /> For County Boar of Equalization Use Only <br /> I declare that to Me best of my knowledge and belief,the determination made by the County Board of Equalization is correct pursuant to the <br /> laws of the State of Nebraska. <br /> ❑ Approved COMMENTS: <br /> O Approval of a Portion /S J`� <br /> 2] Denied -�.f�ii'i'— �i� , i'/ ') /7/ <br /> 5r+ re of"P,' tr^e•'Q-m•• " to <br /> County Clerk:A legible copy of this form showing the final decision of the County Board of Equalization <br /> must be delivered electronically to the Nebraska Department of Revenue within seven days after the Board's decision. <br /> Nebraska Department of Revenue,Property Assessment Division Authorized by Neb.Rev.Stet.§§77-202.01 and 77-202.04 <br /> 96-135-1999 Rev.1-2014 Supersedes 96-135-1999 Rev.7-2012 <br />