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FEB/02/2017/THU 09:25 AM Overland Trails Coun FAX No. 3083823718 P. 001/001 <br /> 201"7 <br /> • <br /> Application for Exemption FORM <br /> NWIa1Re0epptma E from MotorVehcleTaxesbyQualifyingNonprofitOrganizations <br /> REVENUE •To be tiled wilh your wady treasurer. 457 <br /> Eammonalres •need instructions 911 ttvarae aid.. <br /> Applicants tutee - Type d Owner hip <br /> Overland Trails Council Boy Scouts of America , ®Nonprofit <br /> $beet or Other Melling Address - County Corporation <br /> 2808 O'Flannagan St. Hall ❑mew ayi. <br /> Day Slate Zip Code Slate What InCCipOrated <br /> ()rand Island NE 88803 NE <br /> IDENTIFY OPRCERS,DIRECTORS,OR PARTNERS OF THE NONPROFIT ORGANIZATION <br /> Tide Name,Address,CIY,,Slate,Zip Code <br /> Board President Mark Mowry,3220 Cottonwood Lit,Kearney,NE 68845 <br /> Board Treasurer Ron Vonderohe.4218 Michigan Ave.,Grand Island,NE 66803 <br /> Board Secretary David Plond,1519W.Division,Grand Island NE 68801 <br /> DESCRIPTION OFTHE MOTOR VEHICLES <br /> •Attach an additional sheet,N necessary. . <br /> •Registration Date or <br /> • Motor Vehicle Make Modnne* 6o721Ype Vehicle ID Number Date of AO4WetSOn, <br /> If Newly Purdreed <br /> Ford 1989 Pickup 1FTDF15N1 KLf307506 5/2016 GIFTED <br /> Dodge 2008 Mlni-van 1D8HN44H18B172132 <br /> Exempt Uses of Motor*NM: Are he motorwahioles used MONsweIy <br /> ❑AgrbtauraRlododbnel 1 8dumttonal ❑Ralgious ❑ctaraable ❑Cemetery es Indicated? <br /> Oiwe detailed desalplton of use,Inducting an explanation If mdtPe use class oattone Set ®YES ❑NO <br /> Ford and Dodge both used for Camp operations, If No,give percentage of 2219271 vse: <br /> % <br /> • <br /> Under penalties of law,I dedafe That I nave wremlned alas application end that a IS,lime beet of my SnMedge and beset,true,complete,and correct I <br /> - laze that) dry sated lo sign Us evanptian apprr+ton,and that teorgentraton Gang the above-listed property does rddiscryneate <br /> h :w 1p o�+!• man based• 1 or national origin. <br /> sign w /�. Li f Scout Executive 2/1/2017 <br /> here i. . .Sign r, Tae Date <br /> a'GENE FOR COUNTY TREASURER RECOMMENDATION I <br /> APPROVAL 1� ., .�MMENTS:f��— " "7- 1//Y•cs„- 7�Oca, <br /> ❑DISAPPROVAL L� ,g9-t� f 7 <br /> i FEB 2 2017 <br /> /BIIgnaaao d ounryYfasaear Os <br /> 1 FOR COUNT) BOARD OF EQUALIZATION USE ONLY . <br /> HALL COUNTY <br /> ,_,( TREASURERS OFFICE <br /> 6[J APPROVAL GRAND ISLAND,NEBR k1FN-Cip • <br /> 7❑`'DISAPPROVAL 7-17 <br /> Date <br /> Mint Departinent d raiMK Aebauad by Nee Rel slew 55 77-as(t)(a)and(d).and W9.1e5,and 50-s.09 <br /> 9&25a.200$Pee 62011 sMNadei ae-Tae-adda Re 6-2009 <br /> PLEASE RETAIN A COPY I-OR YOUR HCLONUS. <br />