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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. I Failure to properly complete or timely file this application will result in a denial of the exemption. I Name of Organization County Name Tax Year Platte River Whooping Crane Maintenance Trust, Inc. Hall 2017 Name of Owner of Property Stele 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 to Number 6611 Whooping Crane Drive $73,894.00 400219085 City State Zip Code Contact Name Phone Number Wood River NE 68883 Charles A. Cooper (308)3844633 x 116 Type of Ownership ❑Agricultural and Horticultural Sodety ❑Educational Organization ❑Religious Organization 23 Charitable Organization ❑Cemetery Organization • Name Title of or 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 Koreli Secretary/Treasurer Olsson Associates,601 "P" St..Ste.#200, Lincoln. NE 68508 Legal description of real property and general description of all depreciable tangexe personal property,except licensed motor vehicles: Aida TWP LT 4 IN NW%5-9-t0(30.00 acres). Property described above is used in the blowing exempt category(please mark the applicable boxes): ❑Agriaitural and Horticultural Society ® Educational ❑ Religious ®Chartable ❑ Cemetery Give a detailed description of to use of tie 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 all of the property used exclusively as deactted above? Ci 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 alcoholic beverages? ❑YES ®NO If Yes,state the number of hours per week Is the property arced or used by an organization which discriminates in membership or enployment based on race,color, or national origin? ❑YES NI NO Uncle n s of law.I declare that 1 have examined this exemption application and,to the best of my knowledge and belief,it is correct and temple . a eclerry+gait I am a�ray authorized to sign this exemption application. Sign ' E/, Lti/ - � „ President and CEO 12/28/2016 here sized Signature Jr Title Date / Retain a copy for your records. For County Assessor's Recommendation ❑ Approval COMMENTS: 1J1 4oFJk ❑ Approval of a Portion r—. C Denial - ian 01"1 C�,L-ni." - 1�- ' Signature f ty Assessor crate VI 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 State of Nebraska. ❑ Approved COMMENTS: ❑ Approval of a Portion FAEJI Denied A7_ei e" /i.,iilr��eLa_-. r '�_ ESC f ('7 Signature of ounty Boa.'r Data 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 atter the Board's decision. Nebraska Deparlmenl of Revenue,Properly Assessment Division Authorized by Neb.Rev.Sal.§f 77.202.01 and 77.202.04 96135.1999 Rev.1-2014 supemedea 96-1351999 Rev.7-2012