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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 Mating Address of Applicant Total Actual Value of Real and Personal Property Parcel 10 Number 6611 Whooping Crane Drive $622,871.00 400229609 City State Zip Code Contact Name •Phone Number Wood River NE 68883 Charles A. Cooper (308)384-4633 x 116 Type of Ownership fl Agricultural and Horticultural Society ❑Educational Organization ❑Religious Organization [ Charitable Organization 9 Cemetery Organization Title Name Directors,of or Partners 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 progeny,except licensed motor vehicles: MARTIN TWP PT SW Y.12-9-11 (116.18 acres). Property 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 all of the property used exclusively as described above? r 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 potion of the property used for the sale of alcoholic beverages? ❑YES ®NO II Yes.state me number of hours per week Is the property owned or used by an organization which discriminates in membership or employment based on race,color, or national origin? ❑YES f�NO Under sot law, declare dtat I have examined this exemption appkcation and,to the best of my knowledge and belief,it is correct and comp edare I am ufy authorized b sign thus exerrgtion application. sign / yet, President and CEO 12/28/2016 here Au rized gnatwe ( ' Tile Date Retain a copy for your records. 1 For County Assessor's Recommendation ❑ Approval COMMENTS: t7-r-V-__, _ ❑ Approval of a Portion — --- ri rr;21 _� - , , . L—V--1,— V j t� Denial Signature of • 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 1011111Mlarj' /�� ch.Denied Signature of County:.': u -Date County Clerk:A legible copy of this form showing the final decis on 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 Depanmenl 05 Revenue PrcpenyAssessment Dhiaion Authorized by Nab.Pant Shat.§§77-202.01 and 77-202.04 96.195.1999 Rev.1-201.1 Supersedes 96-135-1999 Rev.7-2012 • •