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File with Exemption Application FORM Your County forTax Exemption on Real and Personal Property by Qualifying Organizations 4 51 Assessor Read Instructions on reverse side. Failure to properly complete or timely file this application will result In a denial of the exemption. Name of Organization County Name Tax Year Platte River Whooping Crane Maintenance Trust, Inc. Hall 2017 Name of Owner of Property State where Incorporated Platte River Whooping Crane Maintenance Trust, Inc. Nebraska Street or Other Mailing Address of Applicant Total Actual Value of Real and Personal Property Parcel ID Number 6611 Whooping Crane Drive $5,169.00 400218399 City Slate Zip Code Contact Name Phone Number Wood River NE 68883 Charles A.Cooper (308) 384-4633 x 116 Type of Ownership ❑Agricultural and Horticulture)Society ❑Educational Organization ❑Religious Organization ®Chartable Organization ❑Cemetery Organization • Name Title of Officers, Address,City,State,Zip Code Directors,or Partners Douglas L. Curry Chairman Erickson&Sederstrom PC LLO,301 S. 13th St..#400, Lincoln NE 68508 Craig Thompson Vice Chairman do 6611 Whooping Crane Drive,Wood River,NE 68883 Brad Korell Secretary/Treasurer Olsson Associates, Inc.,601 "P"St..Ste.#200, Lincoln, NE 68508 Legal description of real property and general description of all depreciable tangible personal property,except licensed motor vehicles: ALDA TWP LT 8 23-10-10(2.00 acres). • Properly described above is used to the following exempt category(please mark the applicable boxes): DEC sty 9 2 01 L ❑Agricultural and Horticultural Society 01 Educational ❑ Religious ®Charitable El Cemetery 2 L U Give a detailed description of the use of the property: The Platte River Whooping Crane Maintenance Trust,Inc.("Crane Trust")is a charitable organization dedicated to protecting and maintaining critical habitat for Whooping Cranes,Sandhill Cranes,and other migratory birds.The Crane Trust uses the said property exclusively for this purpose and for related charitable,educational,and scientific purposes.The said property is exempt from taxation under Neb.Rev.Stat.§77-202(1)(d),among other reasons. All organizations,except for an Agricultural and Horticultural Society,must complete the following questions. is all ol the property wed exclusively as described above? ®YES ❑NO Is the property used for financial gain or profit to either the owner or owner or organization making effusive use of the property? ❑YES ENO Is a portion of the property used for the sale of alcoholic beverages? DYES ®NO If Yes,state the minter of hours per week Is the property owned or used by an organization which discriminates in membership or employment based on race,color, or national origin? El YES NO Under :.1 vs dr law,I lure that examined this exemption application and,to the best of my knowledge and bagel,it is correct and comp! , •"._-= tha duly �)odzed to sign this exemption appfcalbn. f sign /// /f i/% President and CEO 12/28/2016 here Authorized Signature Title Date Retain a copy for your records. For County Assessor's Recommendation ❑ Approval COMMENTS: ❑ Approval of a Portion • Denial - rte_ �—�-t— Signatu ' • • p• sensor Date For County Bo. • of Equalization Use Only I declare that to the best of 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 o, / /f�i TA-Denied ei =7t.fij-_ _ • . 17 County,gnature el COrm Board •�'r l County Clerk: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 after the Board's decision. Nebraska Department of Revenue,Property Assessment Division Aumodted by Neb.Rev.Stet.§5 77.202.01 and T7.202.04 96.115-1999 Rev..1-201e Supersedes 9e-1354998 Rev.7.2012