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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. IFailure 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 Meting Address of Applicant Total Actual Value of AS and Personal Property Parcel ID Number 6611 Whooping Crane Drive $10,470.00 400229390 City State Zip Code Contact Name Phone Number Wood River NE 68883 Charles A. Cooper (308)384-4633 x 116 Type of Ownership ❑Agrlctdtural 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 tangaile personal property,except licensed motor vehicles: Lots Seven (7)and Eight(8)in Section One(1),Township Nine(9)North, Range Eleven(11)West of the 6th P.M., in Hall County, Nebraska,together with all accretions thereto, (57.60 acres). Property described above is used In the blowing 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 all d the property used exclusively as described above? 0 YES ❑NO Is the property used for financial gain or profit to either the owner or owner or organization making exclusive use of see property? ❑YES ®NO Is a portion of the property used for the sale of alcoholic beverages? ❑YES ®NO II Ves,stale the number of hours per week Is the property coned or used by an organization which discriminates In membership or employment based on race,color. or national origin? ❑YES X2 NO Under s of law.I declare that I have examined this exemption application and,to the best of my knowledge and belief,it is correct and comp) are I am authorized to sign this exemption application. Sign , 1/2/,/ 2 ¢� President and CEO 12/28/2016 here zed Sigreture �L/ Tae Date Retain a copy for your records. For County Assessor's Recommendation I ❑ Approval COMMENTS: _t -- L. ra,� , ❑ Approval of a Portion t- -- Dental 4Asor \' - r�, J.c ._ — '' ,--CT Signatu Dale 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 Equatzation is correct pursuant to the laws of the Sale of Nebraska. ❑ Approved COMMENTS. ,,❑-�f Approval of a Portion =' L� Denied ��%'��f.- iJi pia _✓�I�s! '/-- i/1 /- Signature of County i it".m..r 4c 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. NebraW oepartment Of Revenue,Property Assessment OMMsion Authorized by Neb.Rev Slat.95 T7-202 01 and 77.202.04 99-135.1990 Rev.1.2014 Supemedea 99435-1999 Rev.72012