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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 Tat Year Platte River Whooping Crane Maintenance Trust,Inc. Hall 2017 Name of 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 $141,708.00 400218755 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 HOrtkrdtural Society ❑Educational Organization ❑Religious Organization ( Charitable Organization ❑Cemetery Organization Name Title of or Parts Address,City,State,Zip Code Directors,or Partners Douglas L.Curry Chairman Erickson&Sederstrom PC LW, 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 tangible personal property,except licensed motor vehicles: The Southwest Quarter(SW 1/4)of Section Twenty-Nine(29)lying south of the right of way line of Interstate 80,All Township Ten (10)North, Range Ten(10)West of the 6th P.M., Hall County, Nebraska,together with all accretions thereto. I Property described above Is used in the blowing exempt category(please mark the applicable boxes): t- 2 a ?ri ❑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 properly 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 allot the property used exclusively as described above? ®YES 0 NO Is the property used for financial gain or port to either the owner or owner or organization making exclusive use of the property? ❑YES ENO Is a portion of the property used for the sale of alcoholic beverages? ❑YES ®NO If Yes,state the number d hours per week Is the property owned Or us by an organization which discriminates in membership or employment based on race,color, or national origin? ❑YES f2 NO Under Bin of law, •eclere that I have examined this exemption application and,to the best of my knowledge and beget,It Is correct and • • complete. %j• : f 3 am• authorized to sign this exemption application. sign , . - r�l� President and CEO 12/28/2016 here Auth:`zed Signature Title Date Retain a copy for your records. For County Assessor's Recommendation ❑ Approval COMMENTS: ❑ Approval of a Portion • �z l Denial (1 Sign u of aunty Assessor Date For County Board of Equalization Use Only 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 aai� Denied '6 ii !�'.er iti�� ./L d •�7C.� °'mil ! • ignature of • t y:.: , ) •er te 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 atter the Board's decision. Nebraska Daps/anent of Revenue,Properly Assessment Division Authorized by Neb.Rev.Stet.95 77-202 01 and 77-202.04 96-1351999 Rev.1-2014 Supersedes 9e-135-19e9 Rev.7-2012