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File with Exemption Application FORM Your County for Tax Exemption on Real and Personal Property by Qualifying Organizations Assessor Read instructions on reverse side. 451 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 $496,861.00 400218852 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 fl Educational Organization ❑Religious Organization Charitable Organization fl Cemetery Organization Name Title of Officers, Partners 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 tangble personal property,except licensed melor vehicles: See the attached Exhibit"A? Property deserted above is used in the blowing exempt category(please mark the appricabe boxes): ❑Agricultural and Horticultural Society ® Educational ❑ Religious ®Charitable ❑ Cemetery r Give a detailed description O t.description of the use of the property: L. 2 9 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)(d).among other reasons. All organizations,except for an Agricultural and Horticultural Society,must complete the following questions. Is at of the property used exdusivety as described above? ®YES ❑NO Is tire property used ter 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 @ NO If Its,awe 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, or national origin? ❑YES ®NO Under penalties of law,I declare that I have examined this exemption application and,to the best of my knowledge and belief,It is correct and complete.I lare lhMeta am d authorized to sign this exemption application. sign / here Au orl d Signature // Title Date Retain a copy for your records. For County7-1- Assessor's Recommendation ❑ Approval COMMENTS: hie-5;A, ❑ Approval of a Portion -- y Xj_Denlal { 'Cx ��4 s- u``y' — ; Signature PIigniray Assessor Date For County Board of Equalization Use Only I declare that to the best of my knowledge and baler,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 / �y pt Denied •_"�� ' jz—',`��ru�.9_6 'e / fir/ 7 - nature of aunty•: :Imr.be 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. Nebraska Department at Revenue,Property A$PoSSmanl CM Ion Au hadzad by Neb.Rev.Sul,ft T7.202a1 end 77-202.04 9e-195-1999 Rev.1-2014 Supersedes 96-195.1999 Rev.7-2012