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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 or Owner of Properly 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 $301,175.00 400218607 City State Zlp 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 ®Clwntable 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 Chair 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 tenable personal properly,except licensed motor vehicles: ALDA TWP LTS 9-10-11-12&SE 1/4 SE 1!4 27-10-10(158.45 acres). -,rr1 2 ., Properly described above is used in the blowing exempt category(please mark the applicable boxes): ❑Agricultural and Horticultural Society ® Educational ❑ Religious ®Charitable ❑ Cemetery 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.§77-2020)(d),among other reasons. AP organizations,except for an Agricultural and Horticultural Society,must complete the following questions. Is all of the properly used exclusively as descrbed above? ®YES ❑NO is the properly used for financial gain or profit to either the owner or owner or organization making exclusive use of the property? ❑YES [NO Is a portion of the properly used for the sale of alcoholic beverages? ❑YES 7 NO If Yes,state the number of hours per week Is the property owned or used by an organization which discriminates in membership or employment based an race,color. or national origin? , ❑YES fro NO U d new,I declare I have examined this exemption applcation and,to the best of my knowledge and belief,It is correct and to la at I am aumoflmd b sign als exemption eppficavon. sign _ President and CEO 12/28/2016 here thonzed Signature Title Dale Retain a copy for your records. i L For County Assessor's Recommendation ID Approval COMMENTS: —1-1--- ,C_ ❑ Approval of a Portion — -7 �lOenial DDD3333 Signarre�I ryASSessor to I 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 ol the State of Nebraska. ❑ Approved COMMENTS: � ❑l Approval of a Portion / IL4 Denied ( ` . '�,ry l 7 Signatureo County mb Date County Cleric 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 Deparanerd ol Revenue.Properly Assessment Division Au10020d by Neb.Rev.Sue.44 77-202.01 and 77-20204 513.135.1090 Rev.1-2014 Supersedes 98-135.tOsG Rev.74012