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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 ale 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 $258,476.00 400219026 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 ®Chartable OrgaNzatlon ❑Cemetery Organization Name Titter 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 do 6611 Whooping Crane Drive.Wood River. NE 68883 Brad Korell Secretarv/Treasurer Olsson Associates,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: ALDA TWP N %2 NE'/a&NE'A NW'A&LT 1 34-10-10(156.62 acres). Property described above is used in the Wowing exempt category(please mark the applicable boxes): ❑Agricultural and Horticultural Society g Educational ❑ Religious ®Charitable ❑ Cemetery Give a detailed description of is 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.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 exclusively as described above? 1 YES ❑NO Is the property used for financial gain or profit to either the owner or owner or oegaNzaton making exclusive use of the property? ❑YES ( NO Is a portion of the property used for the sale of alcoholic beverages? - ❑YES NO If Yes,state the number of hours per week la the property owned or used by an organization which discriminates in membership or employment based on race,color, or national origin? nYES ®NO Under of law I declare that I have examined this exemption application and,to the best of my knowledge and belief,d is correct and canple 1 Ieryd my authorized to sign this exemption application. sign �j � !J — President and CEO 12/28/2016 here ' Authorized Signature Title Date / Retain a copy for your records. I For County Assessor's Recommendation I CI Approval COMMENTS: lJ 1" i` C3 c). ❑ Approval of a Portion - \� �`+. 7 -7 ,Denial K �A_\----1--- - G SL ti Av.-'v. t.- Ll, t t Signature f unity Assessor Date 4 I For County Boar d 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 cared pursuant to the laws of the State of Nebraska. ❑ Approved COMMENTS: ❑ Approval of a Portion / Denied v►_�ri/i• (., ilk✓.Lr_tn1_/ /Ili t •--9 i---,OPT gnature of County'fl.1 '.r 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 clays after the Board's decision. Nebraska oopatnent of Rsrenua Properly ASSmsmenh Owiston Authorized by Neb.Rev.Stet.§4 77-20201 and 7740204 93-135.1999 Res 1-2014 Supersedes 96-135-1999 Rau.2-2012