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File with Exemption Application FORM Your County forTax Exemption on Real and Personal Property by Qualifying Organizations 451 Assessor Reed Instructions on reverse side. iFailure 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 there Incorporated Platte River Whooping Crane Maintenance Trust, Inc. Nebraska Street or Other Mailing Address of Applicant To Actual Value of Real and Personal Property Parcel ID Number 6611 Whooping Crane Drive $451,626.00 400218984 . 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 is Charitable Organization ❑Cemetery Organization Title Name Directors,of or Officers, pa n, 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.601 "P"St..Ste.#200,Lincoln,NE 68508 Legal description of real property and general description at all depreciable tangible personal property,except licensed motor vehicles: ALDA TWP LTS 6-7-12-13 ISL 33-10-10 (203.00 acres). Property described above is used in the following exempt category(please mark the applicable boxes): ❑Agrlcultual and Horticultural Society is Educational ❑ Religious 'Pi 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,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.Stab§77-202(1)(d),among other reasons. All organizations,except for an Agricultural and Horticultural Society,must complete the following questions, W all of the property used exclusively as described above? sit YES ❑NO is the property 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 atcohcac beverages? 0 YES is NO it Yea,state are number of hours per week is the property owned or used by en organization which discriminates in membership or employment based on race,color, Of national origin? ❑YES ®NO U s of law,I des t I have examined lies exemption application and,to the best of my knowledge and belief,ft is coned end co:rs t I duly authorized o sign this exemption application. sign , � i President and CEO 12/28/2016 here ature The Date Retain a copy for your records. For County Assessor's Recommendation/ ❑ Approval COMMENTS: t `,a_tr-3 ❑ Approval of a Portion Denial W • - c\' s y t--‘,•1-1.---(Sgnatu • V. ty Assessor Date I For County Board of Equalization Use Only I 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 of the State of Nebraska. ❑ Approved COMMENTS ❑ Approval of a Portion �y Denied "�iiii�•_• •�' L�/�.w_- �' � Z 2/ !7 TT gneture o County a• Pre,-. Dale 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 et Revenue,Property Assessment Division A"eo tied by Neb.Res.slat.§5 17-202.01 and 77-202.04 912135.1999 Rev.1-2014 supersedes 96-toe-1998 Rev.F2012