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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 J 2017 1 Name of Owner of Property State ,ere 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- $276,912.00 400218593 City State 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 Partin 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 Chair do 6611 Whooping Crane Drive,Wood River,NE 68883 • Brad Korell Secretarv/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 LTS 5-6-7-8 27-10-10(115.00 acres). Property described above Is used in the bllavnng exempt calegoy(please mark the applicable boxes): f. Er Agricultural and Horticultural Society lid Educational ❑ Religious ® Charitable ❑ Cemetery -t, 2 v:.j 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(1Xd),among other reasons. All organizations,except for an Agricultural and Horticultural Society,must complete the following questions. Is at of the properly used effusively as described above? EVES ❑NO Is the properly used for Mandel gain or profil to ether the owner or owner or organization makig exclusive use of the property? ❑YES ®NO Is a portion of the property used tor the sale of alcoholic beverages? ❑YES ®NO If Yes,stale the number of hours per week Is the property owned or used by an organization which discriminates In membership or employment based on race,color, h--h or national origin? I I YES 1 NO Under•- .:of law,I declare that I have examined this exenptbn application and,to the best of my knowledge and belief,it is correct and• [ample= 1 duly authorized to sign this exemption application. sign ( th,—i President and CEO 12/28/216 here . . zed Signature r�------ Title Date Retain a copy for your records. For County Assessor's Recommendation ❑ 4 Approval COMMENTS: 1 --ai ) ❑ Approval of a Portion ,, 1 Denial i% a -ice_ .. :_ 1-- �`t1 Signatu•of Rv. ty Assessor Dale I For County Boa-• of Equalization Use Only I I dedare that to the best of my knowledge and belief,the determination made by the County Board of Equalization is coned pursuant to the laws at he Stale of Nebraska. ❑ Approved COMMENTS: ❑ Approval of a Portion • -Denied tic. _ 4t ie.a—ii_! i1 i� dO/7 ,-.,a are of County Board • .. - Date 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. NebraG°Department of Rev9mre.snowy ASneevnent 0Mebn Authorized by Nee.Rea slat.t4 77.202.01 and 77-20204 9a-135-1999 Rev.1-2014 Supersedes 96t35.1999 Rev.7-2012