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JAN/03 '2017/TUE 04: 42 PM Fonner Park FAX No. 308 384 2753 P. 002 <br /> • ?(:) /-7 <br /> Nebraskaw Application for Exemption FORM <br /> REVENUE from Motor VehldeTaxes by Qualifying Nonprofit Organizations c <br /> •TO be filed With your county Measurer. 457 <br /> •Read instructions on reverse aide. <br /> Applitente Name Type of Ownership <br /> HALL COUNTY LIVESTOCK IMPROVEMENT ASSOCIATION FONNER PARK Nonprolit <br /> Street or Other Ma c Address County Corporation <br /> 700 E STOLLEY PARK RD PO BOX 490 HALL 0 Other(specty} <br /> CRY Sate Zip Coda State Mere Incorporated <br /> GRAND ISLAND NE 68802 NE <br /> IDENTIFY OFFICERS,DIRECTORS,OR PARTNERS OF THE NONPROFIT ORGANIZATION <br /> Title PRESIDENT -° a.......a si MONTE HEHNKE 4013 NORSEMEN AVE GL NE 68803 <br /> 1ST VICE GREG BAXTER 2121 N MONITOR RD GT NE 68803 <br /> 2ND VICE STEVE HANSEN 1470 STAGECOACR RD GT MR 6AA01 <br /> 3RD VICE MIKE JAKITROWSKT 3510 S RT.ATNR GT NV. 6RA03 <br /> SECRETARY:. DAN FOGLAND 4604 LAKESIDE DR. GT Ng 68801 <br /> TREASURER RUSS RERUCHA 2024`STAGECOACH RD GI NE 68801 <br /> DESCRIPTION OF THE MOTOR VEHICLES <br /> •Anach an addittcna1 sheet,H neceeaary, <br /> Motor VehkleMake ModetYew Sari Dati of Ac n Date ldon, <br /> yType Vehicle ID Number Date of Acur i°Won, <br /> yh Min°fob.0 4/ OOfO "7 ,n rrzdc <br /> If Way PUfdllaaetl <br /> ,rJca o.rl <br /> Exempt Uses of Motorvdticie: Are the motorvehklee used exclusively <br /> ®Agricultural/Horticulture] ❑Educational p Religious 5 Chadtahl° p Cemetery as Indicated? <br /> Give detailed description of use,including an explanation it multiple use classifications exist Eves ❑NO <br /> 4-B ACTIVITIES, COMMUNITY ACTIVITIES, PROMOTIONAL EVENTS OF AN <br /> EDUCATIONAL OR CHARITABLE NATURE, HORSE RACING, AGRICULTURAL EVENTrisliwpertematl Wexe'nptusw <br /> INCLUDING THE HALL CO FAIR & NE STATE FAIR & STATE 4-H HORSE SHOW <br /> Under penalties of law,1 declare that I hews examined this application and that it is,to Ike beat of nyloiowledge end beliel,true,complete,end corrects I <br /> also declare that I em duly authorized to sign ihfa exemption appacedon,and that the oganlution owning the above-aced property does nal dacr nk,ate <br /> In membership or employment based on Pace,dolor,or national aright. <br /> sign <br /> CEO 17.-1-16 <br /> herelltwnt1a13edSlgnature BRUCE SWIAART The Dale <br /> FORCOUNTYTREASURER RECOMMENDATION <br /> RAICPROVAL RECEIVEDNIMENT3 ---- 1Q514: At-717.-ai�a <br /> 0 DISAPPROVA. <br /> JAN 3 2017 � of % /-_0-1-7 7 <br /> Signature of C°u°TyTra°°ur°r Date <br /> HALL COUNV PP C0UNTY BOARD OF EQUALIZATION USE ONLY I <br /> TRCAISURCRC J <br /> GRAND ISLAND,NEBRASKA <br /> Li APPROVAL COMMENTS: <br /> J DISAPPROVAL J <br /> Authorized Signature Date <br /> d <br /> NW/MOM Depannaniter$uprw duanized M Neb.Rev.Slat it n 111(e)a,d(dl,and aG0,16s,and 6x$169 <br /> se-anR0o6 Rev.02011$up awdar,e6259+2006/WA 5-2009 <br /> PLEASE RETAIN A COPY FOR YOUR RECORDS. <br />