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File with Exemption Application FORM Your County forTax Exemption on Real and Personal Property by Qualifying Organizations 451 Assessor Read Instructions on reverse side. ' Failure to properly complete or timely Rte 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 $41,509.00 400219077 City State Zip Code Contact Name Phone Number Wood River NE 68883 Charles A.Cooper (308)384-4633 x 116 Type of Ownership 0Agriculturel and Horticultural Society 0 Educational Organization 0 Religious Organization ®Charitable Organization 0Cemetery Organization Title Name 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 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: Aida TWP LT 1 IN NW'/ 4-9-10(18.00 acres). Property described above is used in the following exempt category(please mark the applicable boxes): 0 Agricultural and Horticultural Society y/ Educational 0 Retgiow ®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 property used exclusively as described above? 171 YES ONO Ls the property used for financial gain or prom to ether the owner or owner or organization malting exclusive use of the property? ❑YES ®NO Is a portion of the property used br the sale of alcoholic beverages? ❑YES N NO It 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? DYES 21 NO Under, 'es of law,I declare that I have examined this exemption application and,to the best or my knowledge and belief.it is correct and °amplleel . dec at I a duly authorized to sign this exemption application. sign / - President and CEO 12/28/2016 here -zed Signature /� Tale Date GRetain a copy for your records. For County^\Assessor's Recommendation ❑ Approval COMMENTS, 1.— T(--;•;.: ❑ Approval of a Portion --- K. Denial ti ,f+ t �y) Y-c �C, . off.^.r-o-CL— t"V-1"'- �,�� / `, Signature pf _yA_sessor Date For County Boa 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 Slate oI Nebraska. Approved COMMENTS: ❑ Approval of a Portion /��.I Denied `"�/°� 1'.=,�/.t _.a.//I a 7 Signature of County Bo: . b- rate• 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 at RaverNo,Property Assessment Division Authorized by Neb Red.Stet.§4 77-20201 and 77-202-05 99195-1999 Rev.1-2014 Supersedes 96.135.1999 Rev.7-2012