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File with Your County Exemption Application FORM Assessor on or for Tax Exemption on Real and Personal Property by Qualifying Organizations 45 Before December 31 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 Grand Island Regional Medical Center Hall 2026 Name of Business if Different than Organization State Where Incorporated Nebraska Name of Owner of Property Value of Real Property Value of Personal Property Parcel ID Number Brightstar Six, LLC $1,552,021 $100,000 400292893 Street or Other Mailing Address of Applicant Contact Name Phone Number 3533 Prairieview St Tracy Schmitt 308-675-4423 City State Zip Code Email Address Grand Island NE 68803 tracy.schmitt@bryanhealth.org Type of Ownership ❑Agricultural and Horticultural Society ❑Educational Organization ❑Religious Organization ®Charitable Organization ❑Cemetery Organization Title of Officers, Address,City,State,Zip Code Name Directors,or Partners ANDREW WATERMAN CEO 1321 DIAMOND DR; GRAND ISLAND,NE 68803 TRACY SCHMITT CFO 507 S G RD;GILTNER,NE 68803 Legal description of real property and general description of all depreciable tangible personal property,except licensed motor vehicles: NORTHWEST COMMONS BUSINESS CONDO ASSOC UNIT 4(FORMERLY GRAND ISLAND MALL NINETEENTH SUB LT 1) Medical equipment, office equipment, and computer hardware. RECER'ED Property described above is used in the following exempt category(please mark the applicable boxes): ❑Agricultural and Horticultural Society ❑ Educational ❑ Religious Is Charitable ❑ Cemetery (, F Give a detailed description of the primary use of the property and any other uses of the property: J V 0 D L U") Healthcare services by a Nebraska non-profit(charitable)entity with 501(c)(3)status. HALL C- !1'v' ASSESSOR GF.Nu - i_A.N NEBRASKA All organizations,except for an Agricultural and Horticultural Society,must complete the following questions. Is all of the property used exclusively as described above? ®YES NO Is the property used for financial gain or profit to either the owner,the owner or organization maldng exclusive use of the property,or private individuals?❑YES ►l NO Is a portion of the property used for the sale of alcoholic beverages? ❑YES is NO If Yes,state the 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 ®NO Under penalties of law,I declare that I have examined this exemption application and,to the best of my knowledge and belief,it is correct and complete.I also declare that I duly authorized to si n this exemption application. sign ' L Chief Financial Officer 11/04/2025 here Authorized Siviture Title Date Retain a copy for your records. t For County Assessor's Recommendation 1 ❑ Approval COMMENTS: ❑ Approval of a Portion ❑ Denied Date Signature of County Assessor For County Board of Equalization Use Only Approved If the County Board's determination is different from the County Assessor's recommendation,an explanation is required. ❑ Approval of a Portion ❑ Denied I decfari a that to the best know' e_ipd belief,the determination made by the County Board of Equalize ti n is.correct.pu aw..of th State ofplebraska. 01. Signat e of�n ��o Member Dart liWIZ County Clerk:A legible copy of this form owing the final decision of the County Board of Equalization must be delivered electronically to the Nebrask, Department of Revenue within seven days after the Board's decision. Nebraska Department of Revenue,Property Assessment Division Authorized by Neb.Rev.Stat.§§77-202.01 and 77-202.04 96-135-1999 Rev.6-2021 Supersedes 96-135-1999 Rev.3-2020