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File with Exemption Application FORM Your County for Tax Exemption on Real and Personal Property by Qualifying Organizations �t 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 d Organization County Name Tax Year Platte River Whooping Crane Maintenance Trust, Inc. Hall 2017 Name of Owner of Property Stale Where Incorporated Platte River Whooping Crane Maintenance Trust, Inc. Nebraska Street or Other Mating Address of Applicant Total Actual Value of Real and Personal Property Parcel 10 Number 6611 Whooping Crane Drive $851,192.00 400219034 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 E Charitable Organization ❑Cemetery Organization Name Title of or Officers, Address,City,State,Zf Code Directors,or Partners Douglas L. Curry Chairman Erickson&Sederstrom PC LLO, 301 S. 13th St.,#400, Lincoln NE 68508 Craig Thompson Vice Chair Go 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 tangible personal property,except licensed motor vehicles: ALDA TWP 516 NE Y.&S Y NW Y.& LTS 3-4-5-6 ISL 34-10-10(393.00 acres). Ott - Property described above is used in the following exempt category(please mark the applicable boxes): ❑Agricultural and Horticultural Society E Educational ❑ Religious IN Charitable ❑ Cemetery Give a detailed description of the use at 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,Sandhili 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 deserted above? E 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 E NO Is a Dorton of the property used for the sale of alcoholic beverages? OYES ENO R 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 U , 'thy`"%-s of law,l declare that I have examined this exemption application end,to the best of my knowledge end baked,it is correct and corn• . . declarey t I am ly authorized to sign this exemption appl cation. sign , ;�liee % i , President and CEO 12/28/2016 here Authorized Signature �` Title Date Retain a copy for your records. For County fAssessor's Recommendation -1 ❑ Approval COMMENTS: , ( do.)cp. ❑ Approval of a Portion - - (� —r Denial , (Mc- ' CA„:-...r r• �_ \-S r,c,-, `cP._ �—1 1'- t Sgna oofff,,;molly Assessor ate I For County Boar2t of Equalization Use Only I I declare that to the best of my knowledge and betel,the determination made by the County Board of Equalization is correct pursuant to the taws of the Slate of Nebraska. ❑ Approved COMMENTS; ❑ Approval of a Portion it Denied tner%�_ riltey/L'..!�LAP- a. •c I L 7 Signature of County:!*'f em•-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 days after the Board's decision. Nebraska Department or Revenue.Properly Aswwnent ON1abn Authorized by Nee Ram.&at fig 77-20201 and 77-202.04 se-135.1999 Rev.1-2014 Supersedes 96-135-1999 Rex F2012