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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 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 $377,438.00 400219093 City State Zit/Code Contact Name Phone Number Wood River NE 68883 Charles A. Cooper (308)384-4633 x 116 Type of Ownership [J AgrIcultural and Horticultural SocIety fl Educational Organization 0 Religious Organization { Charitable Organization fl Cemetery Organization Name Title 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 c/o 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 LTS 1-2-3&NW Y NW Y.5-9-10(140.80 acres). Properly described above is used in the following exempt category(please mark the applicable boxes): ❑Agricultural and Horticultural Society ® Educational ❑ Religious 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 an of the property used exclusively as descrbed above? C/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 IE NO Is a portion of the property used or the sale of alcoholic beverages? ❑YES ®NO It Yes.state the number at hours per week Is the properly owned or used by an organization which discriminates Si membership or employment based on race,color, ornational origin? BYES E NO U of law,I deuiare that I have examined pis exemption appbcetion and,to the beat of my krawtedge and belief,d is correct end crompl . ll''declar I am dyq,'authorized o sign this exemption application. sign $L e -. G Z=!1�� President and CEO 12/28/2016 here ' Authorized Signature The Date Retain a copy for your records. For County Assessor's Recommendation '--CI ❑ Approval COMMENTS: °r�,O Ca ❑ Approval of a Portion \— �(` (� 1 la Denial C'�, ..'. T- ��.L� `e,, CO.,'v.c`v k- L 1- t, it Signature o ly Assessor Date I For County Board 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 -�� _% O Denied /Ci1' L�•P!/ i. I"/ — • /---..2_0/7 ignature of County Bo:••hIV ,er 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 atter the Board's decision. Nebraska Department Of Revenue.Properly Aesessmem OM Von Auhorzed by Nee Rea stet.H 77-202.01 and 77-202.04 96135-1999 Rer.1-2014 Supersedes 96-135-1590 Rev.7-2012