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REFUNDS:CASH <br />CHECK <br />N� RECORDED <br />mHALL Gi.`"STY NE <br />m <br />G)-a CASH <br />CHECK /(p-OD <br />Iasi <br />r_� -. INST 101b 0 0 0 14 101b JA�N —2 P 2: 20 <br />cc\ 7_,_, , i lSTi WOLD <br />CREGISTER OF DEEDS <br />')--) -i- G <br />ANNUAL <br />q- STATEMENT PERTAINING TO /se <br />SANITARY AND IMPROVEMENT DISTRICT NO.5 <br />HALL COUNTY, NEBRASKA <br />The undersigned hereby provides the following information as required by Neb. Rev. Stat. §31- <br />727.03: <br />1. Names of the members of the current Board of Trustees of the S.I.D.: <br />Chad Waldow Robert Kieborz <br />Sam Reinke John Webb <br />Shannon Peard <br />2. Names of current: <br />Attorney: Dave Jarecke <br />2900 South 70th Street, Ste. 150 <br />Lincoln, NE 68506 <br />Fiscal Agent: None designated <br />Accountant: None designated <br />3. The warrant and the bond principal indebtedness of the S.I.D. as of the preceding June 30th: <br />As of June 30, 2025, there is no bond principal indebtedness for Sanitary and <br />Improvement District No. 5. <br />4. A statement that this S.I.D. does not have a current bond tax levy or operating levy. <br />Sanitary and Improvement District No. 5 does not have a current bond tax levy or <br />operating levy. <br />December 29, 2025. <br />SANITARY AND IMPROVEMENT DISTRICT <br />NO. 5 OF HALL COUNTY, NEBRASKA <br />By: <br />Shannon Peard, Board Member <br />