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Filewith 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 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 $138,022.00 400218992 City State Zip Code Contact Name Phone Number Wood River NE 68883 Charles A. Cooper (308)384-4633 x 116 Type ol Ownership ❑Agricultural and Horticultural Society ❑Educational Organization ❑Religious Organization ®Chanable Organization ❑Cemetery Organization Name Title of Officers, 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 Koreff Secretary/Treasurer Olsson Associates.601 'P"St..Ste.#200, Lincoln. NE 68508 Legal description of real properly and general description of all depreciable tangible personal properly,except licensed motor vehicles: ALDA TWP LTS 10-11 ISL 33-10-10(63.00 acres). Er - Property 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 desailgon 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 property used exclusively as described above/ k YES ❑NO Is the properly used for financial gain or profs 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? 0 YES ONO 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? ID YES 1J NO Under s of law,1 that I have examined this exemption application and,to the best Of my knowledge and belief,It is correct and comple .1 de 'that Ia/aeprdusty authorized to sign this exemption application, sign `G`rC I #1— President and CEO 12/28/2016 here zed Signature - Title Date Retain a copy for your records. For County rAssessor's Recommendation ` ❑ Approval COMMENTS: l7` anal. ❑ Approval of a Portion 7 Denial - 1 Sig 71e"o ✓•'my Assessor Date For County Boa's 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 of the State of Nebraska. ❑ Approved COMMENTS: ❑ Approval of a Portion 4 Denied Add if / ' tills/, . -art.. SY :nV Signature if County:oa's'"ber 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 oeparbne9 of Revenue.Property Assessment Waite Authorized by Neb.Rev.Stet.S5 77-202.01 and 77-20204 96.1$4999 Rev.I-2014 Supersedes Se-135.1995 Rev.7-2012