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File with Exemption Application FORM Your County for Tax Exemption on Real and Personal Property by Qualifying Organizations 451 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 Making Address of Applicant Total Actual Value of Real and Personal Property Parcel ID Number 6611 Whooping Crane Drive $1,066,739.00 400218542 City Stale Zip Code Contact Name Phone Number Wood River NE 68883 Charles A.Cooper (308)384-4633 x 116 Type of Ownership ❑Agricultural and Horticultural Society ❑Educational Organization ❑Religious Organization ®Charitable Organization ❑Cemetery Organization Name Title of or Partners Address,City,State,Zip Code Directors,or ners Douglas L.Curry Chairman Erickson&Sederstrom PC LLO,301 S. 13th St., #400. Lincoln NE 68508 Craig Thompson Vice Chair c/o 6611 Whooping Crane Drive.Wood River, NE 68883 Brad Korell Secretarv/freasurer Olsson Associates, Inc.,601 "P"St.,Ste.#200. Lincoln, NE 68508 Legal description of real properly and general description of all depreciable tangible Personal property.except licensed motor vehicles: ALDA TWP LTS 4-5-6-7-8-9-10 XC 7.15 AC HWY&SE 1/4 NE 1/4&N 1/2 SW 1/4 &SW 1/4 SW 114 25-10-10 (406.91 acres). Property described above Is used In the following exempt category(please mark the applicable boxes): :l ❑Agrimdeual and HorticulturalSociety CI Educational ❑ Religious e Charitable ❑ Cemetery DEE 2 9 LiJIb Give a detailed description of the use of the propeny: The Platte River Whooping Crane Maintenance Trust,Inc.("Crane Trust')is a charitable organization dedicated to protecting and maintaining critical habitat for Whooping Cranes,Sandhi!!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 Xd),among other reasons. All organizations,except for an Agricultural and Horticultural Society,must complete the following questions. Is all 01 the property used exclusively as desmeed above? YES ❑NO Is the property used for Mande gain or profit to either tiro owner or owner or organization melting exclusive use of the property? ❑YES ®NO Is a portion of the property used for the sale of alcoholic beverages? ❑YES ®NO If Yes,state the number of hours per week Is the property owned or used by an organization v4dch discriminates in membership or employment based on race,color, or national origin?..... ....", n YES ®NO Under tof law I declare t I have examined this exemption application and,to the best of my knowledge and belief,it is correct and comers declare lam authorized to sign this exemption application. Sign /7/17 / President and CEO 12/282016 here zed Sign The Date Retain a copy for your records. For County Assessor's Recommendation ❑ Approval COMMENTS: "T7^ r). r4. ❑ Approval of a Portion f c r ��.�-�r��- L l Denial Signs o ryASSesaw k L For County Board 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. QApproved COMMENTS: ❑ Approval of a Portion v Denied c:21 -�l gnature of County Boar er ta t - 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 Depsnmem of Revenue.Roperty Assessment Division Authorized by Ned Res.Stet.§417.202.01 and 7720104 66-13S-1999 Rev.1-2014 Supersedes 96.133-1999 Rev.7-2012