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COMPANY/BUSINESS NAME & ADDRESS
(928) 871-7513
FORM 245-C
ANNUAL REPORT FOR COAL MINESFOR
POSSESSORY INTEREST TAX
A Detailed Set of Instructions are included with this Form. Please include your most recent (2017) 10K and Stockholder Report
TAX YEAR 2018
FORM DUEApril 1, 2018
YEAR ENDING
WINDOW ROCK, ARIZONA 86515
December 31, 2017
A Form 200 must accompany this form.
COMPLETE & MAIL TO:
OFFICE OF THE NAVAJO TAX COMMISSIONPOST OFFICE BOX 1903
FOR INQUIRIES, PLEASE CALL:
www.tax.navajo-nsn.gov
CONFIDENTIAL CONFIDENTIAL
PIT FORM 245-C Page 1 of 12 www.tax.navajo-nsn.gov
REVISED 01/01/18
COMPANY/BUSINESS NAME :
RECL = Reclamation PROD = Production PITX = Possessory Interest TaxENVI = Environmental BLDG = Building H/S = Health & SafetyDEV = Development ROY = Royalty TN-K = Tons Thousands
Name of Property Lease or Contract No. :
Name of Operator/Lessee :
Address of Operator/Lessee :
Name & Title of Company Official Responsible For This Report : Telephone Number :
E-mail Address:
Name of Contact Person Regarding Information In This Report : Telephone Number :
E-mail Address:
Type of Mine - - Underground, Strip Mine, etc. :
Coal Quality for 2017 Sales
BTU ASH % BULK DENSITY (lb.ft3 )
MOISTURE % SULFUR %
Date Production Started : Date Production Stopped :
Average Weighted Sales Price Per Unit Received for Coal Sold in the Year 2017
The Form 200 must accompany this form.
TN = Short Tons
YD =ThousandsCubic Yards
FOR THE YEAR ENDED DECEMBER 31, 2017
If you need assistance in completing this report, call the Office of the Navajo Tax Commission at (928) 871-7513
K =
FILING INSTRUCTIONS ARE ENCLOSEDlease refer to filing instructions (available on ONTC website) when completing this report. If you need assistance in completing this report, call th
Office of the Navajo Tax Commission at (928) 871-7513. Abbreviations used in this report include:
COAL MINES
MINING COMPANY CONFIDENTIAL DATA
CONFIDENTIAL CONFIDENTIAL
PIT FORM 245-C Page 2 of 12 www.tax.navajo-nsn.gov
REVISED 01/01/18
1. Mineable Coal Total Tons (000's) :
Coal Saleable Total Tons (000's) :
2. Overburden & Topsoil
Cubic Yards3. Strip Ratio
Yards Waste / Tons CoalorTons Waste / Tons Coal
4. Grade or Mineable Coal (BTU's)
Grade of Saleable Coal (BTU's)5. Projected Operating Life in Years
for ReservesProjected Operating Life in YearsBased on Contract
TONS COAL (ORIGINAL RESERVES AT STARTUP)
TOTAL ACRES TO BE MINED RANGE ACRES
January 1, 2018 January 1, 2018 January 1, 2018 January 1, 2018 January 1, 2017 Prior Year
PRODUCING COAL LANDS
TOTAL ACRES UNDER LEASECOUNTY SECTION TOWNSHIP
RESERVESFOR YEAR ENDED DECEMBER 31, 2017
COMPANY : _________________________________________________
Coal Reserves : As of January 1, 2018, coal reserves should include all owned or leased coal held by the company. Show the tons of reserves held in each year below:
LEASED NAVAJO STATE, FEDERAL, OTHER OWNED TOTAL TOTAL
CONFIDENTIAL CONFIDENTIAL
PIT FORM 245-C Page 3 of 12 www.tax.navajo-nsn.gov
REVISED 01/01/18
Mine Production
Operating Days/Years
Tons Coal Mined
Tons Coal Sold
Tons Coal Stockpiled
Total Waste Mined
(Tons)
Cubic Yards Waste
Mined
Tons Topsoil Reclaimed
Strip Ratio
Yd Waste/Coal Tn
Waste Ton/Coal Tn
Preparation Plant
Operating Days/Year
Coal Processed/Day
Coal Processed/Year
Personnel Levels (include both hourly and salaried personnel)
Mine Dept. Personnel
Prep. Plant Personnel
Admin Dept. Personnel
Other Departments
Total Personnel Level
2014 2015 2016 2017 Phase I Phase 2 Phase 3 Phase 4
PRODUCTIONFOR YEAR ENDED DECEMBER 31, 2017
COMPANY : _________________________________________________
ANNUAL HISTORICAL COAL PRODUCTION FUTURE PROJECTIONS2013
CONFIDENTIAL CONFIDENTIAL
PIT FORM 245-C Page 4 of 12 www.tax.navajo-nsn.gov
REVISED 01/01/18
Company : FOR YEAR ENDED DECEMBER 31, 2017
Coal ProductionTons Sold
Tons Stockpiled
Tons MinedAverage Selling PricePer Ton (in $ per ton ofcoal to 2 decimal places)
Value of Coal Sold - $
Ash Haul & Other By-ProductsRevenue Per Ton
($ or $/ TN Coal Sold)
Cost Per Ton
Profit Per Ton
Profit Dollars
Units-Other Byproducts
Selling Price
Profit-Other Byproduct$
TOTAL PROFIT $
Ash & Byproducts
TOTAL PROFIT $/Ton
Production Revenues - $Total Coal Sales - $
Total Byprod. Profit - $
Total Ash Haul Rev - $
Total Ash Haul Exp - $
Misc Revenues - $
Total Gross Revenue - $Total Gross Revenue Sales $/Ton Coal Sold
ANNUAL HISTORICAL COAL PRODUCTION FUTURE PROJECTIONS2013 2014 2015 2016 2017 Phase I Phase 2 Phase 3 Phase 4
CONFIDENTIAL CONFIDENTIAL
PIT FORM 245-C Page 5 of 12 www.tax.navajo-nsn.gov
REVISED 01/01/18
Company : FOR YEAR ENDED DECEMBER 31, 2017
OPERATING COSTS (Express costs in $ per Ton of Coal Sales to two decimal places)
Stripping
Mining
Truck and/or Rail Haul
Crushing/Stock Pile
Coal Prep
Conveying
Mine Office
Reclamation
Gen & Admin
Healthy & Safety
Warehouse
Insurance
Royalty (Navajo Coal)
Royalty, other than Navajo
Marketing
Overhead
Gross Receipt Tax
Possessory Interest Tax
Severance Tax
Property Tax
Other Tax
Other Costs
SUM OPERATING COSTS
INCOME TAX EXPENSES
Tax Cost
CAPITAL COSTEnvironmental Items
Replacement Items
Total Capital Cost (Navajo Only)
SUM PRODUCTION COST
Include all allowable operating, tax, & capital costs
OPERATING COST DETAILInterest Exp in Cost Above
Depreciation in Cost Above
Amortization in Cost Aboce
ANNUAL HISTORICAL COAL PRODUCTION FUTURE PROJECTIONS2013 2014 2015 2016 2017 Phase I Phase 2 Phase 3 Phase 4
CONFIDENTIAL CONFIDENTIAL
PIT FORM 245-C Page 6 of 12 www.tax.navajo-nsn.gov
REVISED 01/01/18
DETAIL OF COAL SALES
REVENUES IN $/TN (Report in dollars per ton Coal Sold to two decimal places)
Value of Coal - $/TN
Value of Byprod - $/TN
Misc Revenue - $/TN
Ash Haul Profit - $/TN
Total Revenue - $/TN
TOTAL REVENUE
PRODUCTION COST IN $/TN (Report in Dollars per ton of Coal Sold to two decimal places)
Sum Operating Cost $/TN
Income Tax Cost $/TN
Capital Costs $/TN
Sum Product Cost $/TN
Sum Product Cost $
PROFIT MARGIN IN $/TN (Report in Dollars per ton of Coal Sold to two decimal places)
Total Revenue - $/TN
Sum Product. Cost $/TN
Profit Margin $/TN
PROFIT MARGIN IN $
Gross Product Revenue $
Gross Product Cost $
Profit Margin $
Phase 2 Phase 3
FOR YEAR ENDED DECEMBER 31, 2017COMPANY : _________________________________________________
ANNUAL HISTORICAL COAL PRODUCTION FUTURE PROJECTIONS
Phase 42013 2014 2015 2016 2017 Phase I
CONFIDENTIAL CONFIDENTIAL
PIT FORM 245-C Page 7 of 12 www.tax.navajo-nsn.gov
REVISED 01/01/18
SCHEDULE OF DEPRECIABLE ASSETS
Company Based on Original Cost by Year of Acquisition County of
Operation (Figures in Thousands of Dollars)
YEAR by Year AcquisitionTotal Original Cost
1994199319921991199019891988198719861985
TOTAL
200320022001200019991998199719961995
201220112010200920082007200620052004
2017201620152014
Environmental Buildings & Structures
2013
Small Scale Eqmt. Large Scale Eqmt. Shovels & Draglines Office Equipment Preparation PlantLeased and Owned Mining Equipment
CONFIDENTIAL CONFIDENTIAL
PIT FORM 245-C Page 8 of 12 www.tax.navajo-nsn.gov
REVISED 01/01/18
LOCATION BY COUNTY & STATECompany ORIGINAL COST FOR REAL & PERSONAL PROPERTY County of
Operation Based on Original Cost FOR YEAR ENDED DECEMBER 31, 2017(Figures in Thousands of Dollars)
1. Personal Property
2. Improvements
TOTAL
County Mining Environmental Office Plant Supplies In Progress Buildings CostPreparation Construction Miscellaneous Total Original
Equipment Plant Supplies in Progress Equipment Cost
TOTAL
County Equipment Draglines EquipmentMiscellaneous Total Original Mining Shovels Environmental Office Preparation Construction
CONFIDENTIAL CONFIDENTIAL
PIT FORM 245-C Page 9 of 12 www.tax.navajo-nsn.gov
REVISED 01/01/18
Company SUPPLIES INVENTORY SCHEDULE County of
Operation Based on Original Cost FOR YEAR ENDED DECEMBER 31, 2017
Mine
Prep Plant
Draglines/Shovels
Environmental
Office
Miscellaneous Buildings
INACTIVE INVENTORY. VALUE OF ALL COAL INVENTORIES ON STOCKPILES AT YEAR END $
CONSTRUCTION IN PROGRESS
DESCRIPTION OF PROJECT
*ATTACH SEPARATE PAGE IF NECESSARY
REPORT ORIGINAL COST BEFORE ALLOWANCES FOR DETERIORATION, DEPRECIATION, OR SALVAGE. SALVAGE ITEMS DO NOT INCLUDE INSURANCE PARTS OR
TOTAL COST :
LIST PROJECTS IN EXCESS OF $1 MILLION EXPENDED. USE CATEGORY REFERS TO MINE, PREP PLANT, ENVIRONMENTAL, OFFICE OR BUILDING.
ORIGINAL COST OF ORIGINAL COST OF CONSUMABLES ORIGINAL COST OF NET ORIGINAL COST LESS SUPPLY CATEGORY
TOTAL COST :
DATE CONSTRUCTION DATE OF EXPECTED TOTAL PROJECTED CAPITAL EXPENDED TO USE CATEGORY STARTED COMPLETION CAPITAL EXPENDITURE DATE OF PROJECT
ALL SUPPLIES (FUEL, TIRES, REAGENTS) SALVAGE ITEMS CONSUMABLES & SALVAGE
CONFIDENTIAL CONFIDENTIAL
PIT FORM 245-C Page 10 of 12 www.tax.navajo-nsn.gov
REVISED 01/01/18
Company LEASED EQUIPMENT SCHEDULE County of
Operation Based on Original Cost FOR YEAR ENDED DECEMBER 31, 2017
PAYMENT EXPENSE COST PURPOSELEASE ORIGINALLEASE TERM
START ENDECONOMIC SERIAL OWNER OR LEASE
PURPOSE REFERS TO: REPLACEMENT - R, EXPANSION - X, OR ENVIRONMENTAL - E
DESCRIPTION LIFE NUMBER LESSOR
CONFIDENTIAL CONFIDENTIAL
PIT FORM 245-C Page 11 of 12 www.tax.navajo-nsn.gov
REVISED 01/01/18
COMPANY/BUSINESS NAME :
*List any additional information which you believe should be considered in determining the value of this mine.
Dated this day of ,(day) (month) (year)
x ( )
State Of
County Of
Subscribed and Sworn to me by _________________________ this _______ day of __________________, ________.(month) (year)
My Commission Expires : _________________
accompanying schedules and statements, and to the best of my knowledge, information and belief, it is true,correct, and complete.
Notary Public
Taxpayer or Duly Authorized Agent Signature Print or Type Name Telephone Number
Title Company
**************************************************************************************************
2018
COAL MINES
ADDITIONAL INFORMATION
VERIFICATION
Under the penalties of perjury, I do solemnly swear or affirm that I have examined this report, including
CONFIDENTIAL CONFIDENTIAL
PIT FORM 245-C Page 12 of 12 www.tax.navajo-nsn.gov
REVISED 01/01/18