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L '-Till i ._,(1G,7GaV_ File with Your County Exemption Application FORM Assessor on or for Tax Exemption on Real and Personal Property by Qualifying Organizations 451 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 Abundant Life Christian 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 $1302124 $ 72340 400150077 Street or Other Mailing Address of Applicant Contact Name Phone Number 3411 W Faidley Ave Holly Landers 3083824861 City State Zip Code Email Address Grand Island NE 68803 office@alccgi.corn Type of Ownership ❑Agricultural and Horticultural Society ❑Educational Organization ❑X Religious Organization ❑Charitable Organization ❑Cemetery Organization Name Title of Officers, Address,City,State,Zip Code Directors,or Partners Frank Gordoa lead pastor 2227 Sunrise Ave,Grand Island, NE 68803 Travis Berns board president 1519 W 3rd St, Hastings, NE 68901 June Atkins board vice president 6319 S Alda Rd.Alda, NE 68810 Legal description of real property and general description of all depreciable tangible personal property,except licensed motor vehicles: MISCELLANEOUS TRACTS 13-11-10 TO THE CITY OF GRAND ISLAND PT NE 1/4 SE 1/4 4.89 AC NE Property described above is used in the following exempt category(please mark the applicable boxes): ❑ Agricultural and Horticultural Society ❑ Educational ® Religious ❑ Charitable ❑ Cemetery RE.C,i 1 Ypr7F Give a detailed description of the primary use of the proygrty and any other uses of the property: --RA,5 f ifb IS ctSesd or 5e e Qom& 0.9 iw u 3j}}.-{{Y�/ S ��/—, DEC 18 2025 C3- f.. k 04,4V-tn n r.0f/l J, Aft 44 r� 6 C.Yx ��on. /t4.F ot;iCf J Y1 l b�'[:..� 15 f,, ,,.c 7{^^tCZC� - 1` 0..) , rdI/I 4 t K 'S,, ALL COUNTYASSESSOR All organizations,except fot of n Agricultural and Horticultural Society,must complete questions A. t Ems,�D' NEB cA��.F 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 making exclusive use of the property,or private individuals? ❑YES ®NO Is a portion of the property used for the sale of alcoholic beverages'? ❑YES ®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?... D 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 als declare tha am duly authorized to sign this exemption application. sign r---_ k � 'v/4 LEAD PASTOR 12-19-2025 nere Authorizeu olgnature Ttte Data Retain a copy for your records. For County Assessor's Recommendation ❑ Approval COMMENTS: ❑ Approval of a Portion ❑ Denied ' Signature of County Assessor Date 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 t ❑ Denied / / I decla eithat to the best rf iknow 4 and belief,the determination made by the County Board of Equali ttbn i,orrect pu . o t fa of the State of Nebraska. , t ,i 1/—/ 3 j 2./ I 2—Co ' Signature of unt)(Board Mem er Dat County Clerk:A legible copy of this form s`t`towing 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. Nebraska Department of Revenue.Property Assessment Division Authorized by Neb.Rev.Stet.§§77-202.01 and 77-202.04 96-135-1999 Rev.8-2021 Supersedes 96-135-1999 Rev.3-2020