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File with Your County Exemption Application FORM <br /> Assessor on or for Tax Exemption on Real and Personal Property by Qualifying Organizations 451 <br /> tofe December 31 Read instructions on reverse side. <br /> 1 Failure to properly complete or timely file this application will result in a denial of the exemption. <br /> Name of Organization County Name Tax Year <br /> Abundant Life Christian Center Hall 2026 <br /> Name of Business if Different than Organization State Where Incorporated <br /> Nebraska <br /> Name of Owner of Property Value of Rani Prnncrh, "clue of Personal Property) Parcel ID Number <br /> I t -7 2314 7 400150069 <br /> Street or Other Mailing Address of Applicant Contact Name Phone Number <br /> 3411 W Faidley Ave Holly Landers 3083824861 <br /> City State Zip Code Email Address <br /> Grand Island NE 68803 office@alccgi.com <br /> Type of Ownership <br /> ❑Agricultural and Horticultural Society ❑Educational Organization ©Religious Organization ❑Charitable Organization ❑Cemetery Organization <br /> Name Title of Officers, Address,City,State,Zip Code <br /> Directors,or Partners <br /> Frank Gordoa lead pastor 2227 Sunrise Ave, Grand Island, NE 68803 <br /> Travis Berns board president 1519 W 3rd St,Hastings, NE 68901 <br /> June Atkins board vice president 6319 S Alda Rd,Alda, NE 68810 <br /> Legal description of real property and general description of all depreciable tangible personal property,except licensed motor vehicles: <br /> MISCELLANEOUS TRACTS 13-11-10 TO THE CITY OF GRAND ISLAND PT NE 1/4 SE 1/4 XC <br /> 1.6 CITY 20.84 <br /> 530 N WEBB RD <br /> Property described above is used in the following exempt category(please mark the applicable boxes): t,[7_1— <br /> ❑ Agricultural and Horticultural Society ❑ Educational 0 Religious Charitable❑ ❑ Cemetery <br /> : FI% �» <br /> Give a detailed description of the primary use of the property and any other uses of the property: <br /> 9 re p t 5 cu.�✓i ecr b' - to C L LLA-1~L- �e n j o(e �Ctrt0c se D E 18 ZDZ 5 <br /> �'0 (•'CIS tv(.c(��1Z,t ("AAA C L-L-EX-C-C. a i T1C++ti 4' I €X:Are, Ct(44 0 t t ucl C7. P('fi t' � . cO l• t i S:'%, <br /> 8, t(.,`=- UOo r-�-'� --e- c��`.. -J1>6{^ d t"• �-r�i�'� '1-( ot IAA(Lk' <br /> (S -1--1 e`er - CnF1'yr"i`! .t':' 4 aR ,5 <br /> All organizations,except for an Agricultural and Horticultural Society, must complete the following questions. <br /> Is all of the property used exclusively as described above? ®YES ❑NO <br /> Is the property used for financial gain or profit to either the owner,the owner or organization making exclusive use of the property,or private individuals? ❑YES ®NO <br /> Is a portion of the property used for the sale of alcoholic beverages? ❑YES ®NO <br /> If Yes,state the number of hours per week <br /> Is the property owned or used by an organization which discriminates in membership or employment based on race,color,or national origin?... ❑YES ®NO <br /> 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 <br /> complete.)also declare th I a duly authorized to sign this exemption application. <br /> sign � ` i�/ LEAD PASTOR 12-19-2025 <br /> here Authorized Signature Tiiie Date <br /> '"'' Retain a copy for your records. <br /> For County Assessor's Recommendation <br /> ❑ Approval COMMENTS: <br /> ❑ Approval of a Portion <br /> ❑ Denied <br /> Signature of County Assessor Date <br /> For County Board of Equalization Use Only <br /> roved If the County Board's determination is different from the County Assessor's recommendation,an explanation is required. <br /> ❑ Approval of a Portion <br /> ❑ Denied / <br /> I deeia-e that to the best my k yale ge_and belief,the determination made by the County Board <br /> of Equ iz do 's co ect , rraws of theastate of Nebraska. at'I <br /> Signa ure o Cou "B rd mber Dat <br /> County Clerk:A legible copy of this forme howing the final decision of the County Board of Equalization <br /> must be delivered electronically to the Nebraska Department of Revenue within seven days after the Board's decision. <br /> Nebraska Department of Revenue,Property Assessment Division Authorized by Neb.Rev.Stet §§77-202.01 and 77-202.04 <br /> 96-135-1999 Rev.8-2021 Supersedes 96-135-1999 Rev.3-2020 <br />