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File with Your Application for Exemption I FORM County Treasurer from Motor Vehicle Taxes by Qualifying Organizations 457 •Read Instructions on reverse side. I Name of Organization Tax Year Value of Motor Vehicles AMERICAN NATIONAL RED CROSS 2026 60000 ` Name of Owner of Property County Name State Where Incorporated AMERICAN NATIONAL RED CROSS ' HALL r NE Street or Other Mailing Address r Contact Name Phone Number • 404 E 3RD ST TINA LYONS 1(402)960-9973 - City State Zip Code Email Address GRAND ISLAND, NE 68801-7775 TINA.LYONS@REDCROSS.ORG Type of Ownership: ❑Agricultural and Horticultural Society ❑ Educational 0 Religious ❑✓ Charitable ❑ Cemetery ❑ Fbr-profit Nursing Facilities Charitable Organizations:Motor Vehicle described above is used in the followingexempt category(please mark theapplicable r9 P 9 ry boxes): I 0 Agricultural and Horticultural Society ❑ Educational ❑ Religious ❑✓ Charitable ❑ Cemetery !Charitable and For-Profit Organizations,please answer the following: If No,give percentage of exempt use: t i Are the motor vehicles used exclusively as indicated?(see instructions) 0 YES ❑ NO % 1 For-profit Nursing/Assisting Living Facilities,please select the applicable box: What percentage of occupied beds have been provided to i ❑ Nursing Facility ❑Skilled Nursing Facility ❑Assisted-Living Facility medicaid beneficiaries over the most recent three-year period? % Name C Title of Officers, Address,City,State,Zip Code Directors,or Partners TINA LYONS FLEET MANAGER 3838 DEWEY AVE OMAHA,NE 68105 Description of the Motor Vehicles •Attach an additional sheet,if necessary. r • i Registration Date or , • j Motor Vehicle Make Model Year Body Type Vehicle ID Number Date of Acquisition, If Newly Purchased ! HOND CR-V HYBRID(35065) ' 2024 PASSENGER CAR 7FARS6H58RE066920 4/30/2026 -- RAM PROMASTER 3500(32973) 2021 HIGHTOP VAN 3C6MRVJG1ME561943 4/30/2026 DODG GRAND CARAVAN(31645) 2018 VAN 2C4RDGBG9JR312680 4/30/2026 — I I I Give a detailed description of the use of the motor vehicle: THESE VEHICLES ARE USED TO TRANSPORT EMPLOYEES AND SUPPLIES TO BLOOD DRIVES. 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 al o declare that I am d authorized to sign this exemption application. sign FLEET MANAGER 2/10/2025 , here "=�"'CEIVED Title Date For County Treasurer Recommendation _..r ( 'Approva FEB — g 2026 Corrments: EXEMPT PER NSS#77-202 �� , �� ❑Denial „.,. .f- -_v4-A'<'3' . ..Y`�—J'1 1 ' 1a1?c r it HAIL COUNTY TREASURERS OFFICE / /`-�/_ GRAND ISLAND.NEBRASKA �e�.L- rlQ?CQ/L�?co Signs re of County Treasurer __.,. Date For County Board of Equalization Use Only ,Approved If the County Board's determination Is different from the County Treasurer's recommendation,an explanation is required. ❑Denied I de that to the best o knowled and belief,the determination made by the County Board of Equaiiz on is correct pu nt State of Nebraska. , Z%/1/7 _3.i 7,,, .4 4 6 Si a re of unty Bo Member D Nebraska Department of Revenue Authorized by Neb.Rev.Stat.§§77-202(1)(c)and(d),and 60-3,185,and 60-3,189 96-253-2006 Rev.8-2024 Supersedes 9e-253-2006 Rev.7-2024 Please retain a copy for your records.