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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 Mere incorporated Platte River Whooping Crane Maintenance Trust, Inc. Nebraska Street or Oher Mailing Address of Apptigm Total Actual Value of Real and Personal Property Parcel ID Number 6611 Whooping Crane Drive $793,256.00 400218925 City State Zip Code Contact Name Plane Number Wood River NE 68883 Charles A.Cooper (308)384-4633 x 116 Type of Ownership 0 Agricultural and Horticultural Society ❑Educational Organization ❑Religious Organization ®Chartable 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 c/o 6611 Whooping Crane Drive,Wood River,NE 68883 Brad Korell Secretary/Treasurer Olsson Associates,601 "P"St., Ste.#200. Lincoln, NE 68508 Legal description of real property and general description of all depreciable tengbe personal property,except licensed motor vehicles: ALDA TWP PT LT 6 ISL&LTS 5-7-8-11-12-13 32-10-10(243.00 acres). Property described above Is used in the bibwing 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.§77-202(1)(d),among other reasons. All organizations,except for an Agricultural and Horticultural Society,must complete the following questions. Is all of the properly used excluswey as described 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 property used for the sale of alcoholic beverages? OYES ®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 on race,color, or national origin? ❑YEs it NO Under nettles of law,I declare that I have examined this exemption apprucation and,to the beet of my knowledge and belief,it is correct and cornple that ,am duly authorized to sign lies exemption application. sign //7p.a��`�y(s ,� .---- President and CEO 12/28/2016 here t I'.-'.zed Signature Tide Date Retain a copy for your records. For County Assessor's Recommendation ❑ Approval COMMENTS: ❑ Approval of a Portion . t Denial _ C'- 1 S..= .lid•:tyASSe-•r te For County Boa • of Equalization Use Only I declare that to the beat 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 `] Denied - i. salit County 7 gnature o Couc :•:,• e,• Dec 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 of Re erne,Property Assessment Division Autodzed by Nab.Rev.Stet.§§77-202.01 and 77-292.04 96.135-1099 Rev.1-2014 Supersedes 061954999 Rev.7d012