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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. 1 Failure to properly complete or timely the this application will result in a denial of the exemption. Name of Organization County Name Tex 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 Valued Real and Personal Property Parcel ID Number 6611 Whooping Crane Drive $173,022.00 400219107 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 ®Charitable Organization ❑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 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: Alda TWP LTS 1-2-8 ISL 6-9-10(97.60 acres). Property described above is used in the blowing exempt category(please mark the applicable boxes): ❑Agric dtural and Horticultural Society N 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,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 properly used exclusively as described above? `e YES ❑NO Is the properly used for financial gain or profit to either the owner or owner or organization making exclusive use of the property? ❑YES el!NO Is a portions the property used for the sale oil alcoholic beverages? DYES N NO II Yes,state the number of hours per week Is the properly owned or used by an organization which discriminates in membership or employment based on race,color. or national origin? ❑YES NNO Urger of law, declare the l'have examined this exemption application and,to the best of my knowledge and belief,it is correct and comple lore t lam duly o�rized to sign this exemption application. Sign 1 iii ,-4 tE t7 - President and CEO 12/28/2016 here Audlonzed Signature Title Date Retain a copy for your records. For County Assessor's Recommendation ❑ Approval COMMENTS: ` (Z— AC;_ ❑ Approval of a Portion r`..IN, c-‘,. __T pi—Denial 1'� .t n 1-��.r`CI 4`n 1 �. V1:- ' 1 I• Signature Assessor Date Nii 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 i- Sgnature of Count "a''?:m,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 after the Board's decision. Nebraska Depadmem of Revenue.Property Assessment DiviMdn Auterhed by Nab.Rev.Sal.49 77120201 and n.202.04 96-105'1999 Rev.IQ0t0 Supeaades 98-135-1999 Rev.72012