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RESET I PRINT I File with Your Application for Exemption FORM County Treasurer from Motor Vehicle Taxes by Qualifying Organizations 457 •Read instructions on reverse side. Name of Organization Tax Year Value of Motor Vehicles Abundant Life Christian Center 2026 $4500.00 Name of Owner of Property County Name State Where Incorporated Frank Gordoa Hall NE Street or Other Mailing Address Contact Name Phone Number 3411 W Faidley Ave Frank Gordoa/Holly Landers 308-382-4861 City State Zip Code Email Address Grand Island, NE 68803 office@alccgi.com Type of Ownership: ❑ Agricultural and Horticultural Society ❑ Educational Q Religious ❑ Charitable ❑ Cemetery ❑ For-profit Nursing Facilities Charitable Organizations:Motor Vehicle described above is used in the following exempt category(please mark the applicable boxes): ❑ Agricultural and Horticultural Society ❑ Educational Q Religious ❑ Charitable ❑ Cemetery Charitable and For-Profit Organizations,please answer the following: If No,give percentage of exempt use: Are the motor vehicles used exclusively as indicated?(see instructions) 0 YES ❑ NO For-profit Nursing/Assisting Living Facilities,please select the applicable box: What percentage of occupied beds have been provided to ❑ Nursing Facility Skilled Nursing Facility ❑Assisted-Living Facility medicaid beneficiaries over the most recent three-year period? Name Title of Officers, Address,City,State,Zip Code Directors,or Partners Frank Gordoa Lead Pastor 2227 N Sunrise Ave, Grand Island NE 68803 Description of the Motor Vehicles •Attach an additional sheet,if necessary. Registration Date or Motor Vehicle Make Model Year Body Type Vehicle ID Number Dale of Acquisition if Newly Purchased Rock Solid Cargo Trailer 2018 Cargo Trailer 7H2BE1623JD004941 05/12/2026 Give a detailed description of the use of the motor vehicle: -feet ;<ea. 61, v5e c oM r/ cwr.u2 cx 6/f-v 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 am duly authorized to sign this exemption application. sign �; LEA P PO V,- 5- 1i-.20z.16. here Authorized Signature Title Date t w4r...""' II IF. error County Treasurer Recommendation I 'a 4;•7;�, ti � EXEMPT PER NSS#77-202 j pproval Comments: ❑ Denial MAY 1 4 2026 /--ftut., HALL I COUNTY C�}1�Q� SC"�?"`�"G(K— 505/24 , TRFHALL f k5 OFFICE GFP_r:r.ia-`,t,' NIi,i-..,SKA ,Signature of County Treasurer Da For County Board of Equalization Use Only xtApproved If the County Board's determination is different from the County Treasurer's recommendation,an explanation is required. ❑ Denied I declare that to the b t of my knowledge and belief,the determination made by the County Board 1tur of Eq i ation is cor c urs t tothelasoftheSttofNbaska ‹..5://./?;//: 6,11'Se of ou ty Board Member Dat Rev.7-2024 Authorized by Neb.Rev.Stat.§§77.202(1)(c)and(d),and 60-3,185,and 60-3,189 Please retain a copy for your records.