Laserfiche WebLink
ace <br /> -'.---z..— Application for Exemption FORM <br /> NnebemvtkarOaapartama l <br /> REVENUE from Motor Vehicle Taxes by Qualifying Nonprofit Organizations 457 <br /> *To be filed with your county treasurer. <br /> mmics •Read Instructions on reverse side. <br /> AppfranYS Noma Type of Ownership <br /> HALL COUNTY LIVESTOCK IMPROVEMENT ASSOCIATION FONNER PARK (g!Nonprofit <br /> Street or Other Mailing Address County Corporation <br /> 700 E STOLLEY PARK RD PO BOX 490 HALL <br /> --_- 0 other.spedly): <br /> City State Zip Code State Wham Incorporated <br /> GRAND ISLAND NE 68802 NE <br /> IDENTIFY OFFICERS,DIRECTORS,OR PARTNERS OF THE NONPROFIT ORGANIZATION <br /> NiePRESIDENT OUONZMONUOMONEMINK GREG BAXTER 2121 N MONITOR RD G I NE 68803 <br /> 1ST VICE STEVE HANSEN 1420 STAGECOACH RD GI NE 68801 <br /> ----2ND VICE------IRIKE. -- ------- GI -- — — — — <br /> --__ _.,_,_—,.__ MIKE JAKUBOWSKI 3510 S BLAINE _GI .NE 68801 .___,__—_._._______ ____ <br /> 3RD VICE ,DAN FOGLAND 4604 LAKESIDE DR GI NE 68801 _ <br /> SEC. TRUSS RERUCHA 156 PONDEROSA CT GI NR 6B803 <br /> T_RES. _ JEFF RICHARDSON._#47 KUESTER LK_ GI_NE 68801_ <br /> DESCRIPTION OFTHE MOTOR VEHICLES <br /> •Attach an additional sheet,It necessary. • <br /> Registration Data or <br /> Motor Vehicle Maks • Model Year 1 Body Type Vehicle ID Number Date of Acquisition, <br /> a <br /> __ Newly PurMased_.— <br /> __.._ SRF, ATT CHRD_T.TST ' —_- ' <br /> --------- <br /> i <br /> i I <br /> '_ <br /> Exempt Uses of Motor Vehicle: __—.Y.— .�Are the mo1Ar vehicles used exclusively <br /> i as indicated?CHASn'cultura69iorticuitural 0 Educational lif Religious 12 Chartable 0 Cemete n <br /> CNe detailed description of use,inducting an exptanatron it multiple use cta ailia'ions exist: JjJYES ❑NO <br /> 4—H ACTIVITIES, COMMUNITY ACTIVITIES, PROMOTIONAL EVENTS OF AN <br /> ' No,gave pemen-wg oQ oempt use: <br /> EDUCATIONAL OR CHARTIABLE NATURE, HORSE RACING, AG EVENTS INCLUDI��` <br /> THE HALL CO FAIR, ,NE STATE FAIR & STATE 4—H HORSE SHOW. <br /> I <br /> I <br /> I <br /> Under penalties of taw,I declare that I have examined this application and that it is.to the test of my knowledge and belief,true,complete,and correct.I <br /> also declare that I sin duty adhorizad to sign this' exemption a iet:ve ion,and that the organization oanhg the above-listed property does not discriminate <br /> in membership or employment b=j n mos,coda,01,national origin. <br /> sign S,- CEO /f Y—t 7 <br /> here �Mthorizedsir cure B' CE SWIHART Tide Data <br /> L -------,.--'----,FOR C_O_UNTYTREASURER RECOMMENDATION --' —J <br /> [APPROVAL 00160 TS: ALA, /Y.S.S. '"77 v30c. <br /> [j D:SAPPRO/AL RECEIVED <br /> DEC 5 Cut? 1aa /4-ale:--ale:-77 <br /> i�&gnature'6t Toufily Treasurer Date <br /> FOR COU Y BOARD OF EQUALIZATION USE ONLY <br /> HALL COUNTY <br /> TREASURERS OFFICE A , MM NTS: <br /> PPROVAL GRAND ISLAND,NEBRASIBY <br /> DISAPPROVAL a 041 <br /> Signature Dale <br /> Nebraska Department of Revenue Authorized by Neb.Raw.Slat§§77-2Oi4 a)and(S and 80-9,185.and 8049,189 <br /> 9g-293-2008 Ran 8-2011 SuneeHles eO-250200&Rev 5.1rea <br /> PLEASE RETAIN A COPY FOR YOUR RECORDS. <br />