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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 OrgaNzafon '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 Stied or Other Mailing Address of Applicant Total Actual Value of Real and Personal Property Parcel ID Number 6611 Whooping Crane Drive $176,347.00 400229552 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 Sodety LI]Educational Organization []Religious Organization Charitable Organization 0 Cemetery Organization Name Title of or Partners 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 properly and general description of all depreciable tangible personal property,except licensed Motor vehicles: MARTIN TWP E't/2 LT 1 MLD 11-9-11 (31.15 acres). _ 1 Properly described above is used in the following exempt category(please mark the applicable boxes): ❑Agriculturai and Horticultural Society J Educational ❑ Religious ®Charitable ❑ Cemetery • Give a detailed description of the use Cl 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. MI organizations,except for an Agricultural and Horticultural Society,must complete the following questions. Is all of the property used exclusively as described above?.. 1'�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? - DYES Fe NO Is a portion of the property used tor the sate ot alcoholic beverages? OYES s..5 NO II Yes,state the number of hours per week Is the properly owned or used by an organization which dsaiminates in membership or employment based on race,color, or national aigin? itIES kJ NO Under el Cl law,1 tare Mat nave examined this exemption application and,to the best of my knowledge and belief,it Is correct and complete eclate th amidri! eulhorized b sign Mrs exemption application. sign :7 , , /,Q�� President and CEO 12/28/2016 here tare L ` G Title Date Retain a copy for your records. For County -1.1, Assessor's Recommendation ❑ Approval COMMENT&. `*-LC•-.-.4., `�0 Approval of a Portion -- -y • ]SJ Denial , \--�;�ca � S?�.{.`.: �, _ �,—\.��` l / Signawro I ntyAUeasor Date i For County Board of Equalization Use Only I declare that to the best of my knowledge and belled,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 56 Denied I—rtir�r_ i,.St�1i1/�s�i i/ —..#17 . Signature of County'•. T!•••-r s-i te 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. Nedasta Oeparbnenl of Revenue.Property Assessment ONdon Authorized by Neb Rev.Slat.S4 77-202.01 and 77-202.04 95 135-1999 Rev.t-2014 Supersedes 961351999 Rev.7-2012