14											   	p'la lol.1
					     	COMMISSIONERS' COURT AGENDA REQUEST
			  	PLEASE FURNISH ONE ORIGINAL AND ONE (1) COPY OF THIS REQUEST
					 	AND DOCUMENTS TO BE REVIEWED BY THE COURT
			 	MADE BY:  A		    	uo	    	OFFICE:			     	s arj
			 	MEETING DATE:   	7 /     	, A    	TIME PREFERRED:  Cj ok  1U
			 	SUBJECT:  I    	-3/4-  re   	y S Vm-( -4©		A"  C©Y\    	ro    	`    	b(.
								     	A r  n &\   	C  or  *ro
			 	EXECUTIVE SESSION REQUESTED:  (PLEASE STATE REASON)
			 	NAME OF PERSON ADDRESSING THE COURT:
			 	ESTIMATED LENGTH OF PRESENTATION:
			 	IF PERSONNEL MATTER - NAME OF EMPLOYEE:
				  	Time for submitting this request for Court to assure that the matter is posted in
				  	accordance with Title 5, Chapter 551 and 552, Government Code, is as follows:
				  	Meeting scheduled for Mondays:		   	5:00 PM previous Tuesda   	_
			 	THIS REQUEST RECEIVED BY:		  	62/1 � —   	,1
			 	THIS RQUEST RECEIVED ON:				     	02 0/0    	@	    	.M.
			 	All Agenda Requests will be  screened by the  County Judge's  Office to  determine  if adequate
			 	information has been prepared for the Court's formal consideration and action at time of Court
			 	Meetings.   	Your  cooperation  will  be  appreciated  and  contribute  towards  your  request  being
			 	addressed at the  earliest opportunity.   	See Agenda Request Rules Adopted by Commissioners'
			 	Court.
			 	Make sure any and all back up material is attached to this form.
		 	KERB COUNTY ATTORNEY								     	ROBERT HENNEKE
			     	COUNTY COURTHOUSE, SUITE BA -103  •  700 MAIN STREET  •  KERRVILLE, TEXAS  78028
			  	July 12, 2010
			  	Via facsimile (512) 505 -6359
			 	Ms. April Lucas
			 	McGinnis, Lochridge & Kilgore, L.L.P.
			 	600 Congress Avenue, Ste. 2100
			 	Austin, TX 78701
			 	RE:    	Kerr  County,  Texas,  et.  al.  v.  Tuma;  Cause  No.  10 -579B;  In  the  198  District
				  	Court; Kerr County, Texas.
			 	Dear Ms. Lucas:
			 	In response  to  your  July  9,  2010,  letter,  I  cannot  determine  if this  is  a  litigation  delay
			 	tactic  or if you  did  not  simply read my July  7,  2010,  letter.  The  information you  have
			 	provided is deficient and fails to provide the materials requested in item nos. 2 - 4 in the
			 	July 7, 2010, letter.
			 	2.		Application for Insurance — Please provide  a complete copy  of the  application
			 	submitted  by  your  clients  to  Lester  Kalmanson  Agency,  Inc.,  for  insurance  of  the
			 	dangerous wild animals for which a certificate of registration is sought.
			 	•	 	The  Application  for  Insurance  is  incomplete.  It  lacks  copies  of the  referenced
			 	attachments.  It  is  an  application  made  by  Amy  Tuma,  whereas  the  Certificate  of
			 	Insurance is in the name of Hatari Safari. It is only for a 6 month policy.
			 	3.		Insurance  Policy  —  Please  provide  a  complete  copy  of the  Insurance  Policy
			 	issued to your clients by Lester Kalmanson Agency,  Inc., for insurance of the dangerous
			 	wild animals for which a  certificate of registration  is sought.  Kerr County should also
			 	be named as an additional insured in this policy.
			 	•	 	Only  the  Certificate  of  Insurance  has  been  submitted  (twice).  You  have  not
				provided  me  with  a  complete  copy  of the  Insurance  Policy.  This  Certificate  does  not
				match the name under which the Application you provided me was submitted. It is only a
				 	MAIN NUMBER (830) 792 -2220  •  HOT CHECKS (830) 792 -2221  •  FAX (830) 792 -2228
							  	Website: http: / /www.cokerr.tx.us /attorney
	 	•
			  	6 month policy. It does not identify the animals that are insured.  It does not name Kerr
			  	County as an additional insured.
			  	4.		Paid  Receipt  —  Please  provide  receipt from  Lester  Kalmanson  Agency,  Inc.
			  	documenting payment  in  full for  the  Insurance Policy  for  a  period of one  year for
			  	insurance of the dangerous wild animals for which a certificate of registration is sought.
			  	•	 	Nothing in the receipt or other documentation states that the Insurance Policy has
			  	been paid in full for a period of one year.
			 	Please feel free to call me to discuss or with any questions.
			 	Sincerely,
			 	Robert Henneke
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								   	APPLICATION FOR
			    	CERTIFICATE OF REGISTRATION FOR DANGEROUS WILD ANIMALS
		I.  NSTRU   	IONS.
		A.		Prior to filing this Application the Applicant must read and familiarize himself with the following:
		  	•	 	Subchapter E  Chapter 822, Texas Health & Safety Code.
		  	•	 	The Caging Rtquirements and Standards for the Keeping and Confinement of Dangerous Wild Animals established by
			   	the Texas Board of
		  	•	 	The federal Animal Welfare Act Regulations relating to facilities and operations; animal health and husbandry; and
			   	veterinary care for each of the = Y  1 s.     	R listed  • this Apptica 'en.
		B.		This Application must be filed with     	a   	---     	_	  	a   	_ A A
								  	: 77 e o Anmial Regi �.: in Ageney]
		C.		A registration fee of S50 per animal up to a total of $500 per Applicant mtts  r- -,: d at th   	'  e this A.. i tr. don is fil -
		  	Payment must be made in cash, cashier's check or money order payable to the order of		a			a   	_ 1.21.....
													    	[ Name .  tiff: at egisttadon    	cy
	 	D.		All blanks in this Application must be completed  Please type or print legibly.
		E.		All required submission items listed in Section V below must be complete and legible and must accompany the filing of this
		  	Application,
	 	tr. ' "APPI    	ANT IN  'ORMATXQN:
				  	1
	 	Applicant's Name:   	Alta		 	S3s I_.	   	Mailing Address:
	 	Street Address:		Cli					   	(ifdifrerent)
					mares  ri  s awtiLrliianL  L			city		 	county	     	state			zip
			   	ea	    	county	 	sta		az						     	( �"'     	L'�
			   	Tel     	i  $.    	f  Al		It		SS		gencyTel	 	o  "is tX    	-     	`�    	c  ?     	� 'I   	q,  ,
			   	F ax:	 	e     	_			     	Email Address:				   	`		.   	, . vac+ v •"  (
	 	If Applicant is other than an individual, pleas  rovide the following information:
		  	Check One		0 Partnership   	�   	❑ Trust	   	❑Other (explain)
	 	Designated		tt    	flan abo ked organization:   	Name:	  	a  At  i			1 * 4
									   	Address:	  	eaRriainZ   	.! a     	:tniL
									   	Tel:C83  Q)			Fax:
	 	Does the Applicant have a Dealer's or Exhibitor's License issued by the USDA under the federal Ani s .  Welfare Act?		1 0 Yes XNO
	 	If yes, check class of license held and provide license number:   	❑ Class A    	0 Class B		     	License No
	 	Is this application for an original or rene t   	per tifi     	.'registration?		    	t'r		�•			rigmal    	Renewal
	 	Has the Applicant ever had any appli  •  ton  6?tcertifi v. - of regi•   	ion orr
											  	0 i e  : * . j led?    	�			C l   	\  '�   	es  0 No
	 	If  es, give dates and circumstances:   	!l`  -    	r     	fla		it	  	.4  s Ss  . 4fr.			 	.a    	A .   	e
	 	Has the Applicant ever had a certificate of registration or renewal r	  	F.     	j � td    	V p    	f e-		 	a'   	es  0 No
	 	If yes, give date and circumstances:									!"
	 	XXI ., XDENTIFXCATION OF ANIMAL {S):
	 	Species			Sex	  	Age     	Color, Distinguishing
											)/tM Marks, and Other Identifying Features 0.S. MT With, tattoo, sterilization, etc.)
	 	(common name) r					     	o RAtdete   	w; 4k   	" "`  t p N
	   	ii  de.												    	ui
										    	(Attach additional sheet if required)
																		    	Page 1 of 3
	 	IV.  PA i   	i!TIES AND OPERATIONS:
	 	Location where each animal will be permanent)  kept			     	y a   	a   	:® t   	r
	 	(Attach additional    	tif more address informationisreq    	)	    	:•,•� ^�     	� �     	� - n  :		Idtra   	t
							 	` _ ��  - Te '.i`ltr.	   	{� Att Fax:
	 	Primary Caretaker									  	g				r " T  f    	1 J
								  	f    	!�						   	11  tt
			   	r:   	f �r1 /   	1		    	7			     	endin  Veterinarian: /7 �^'^�
			     	Di  ' tRi. ° W .N.	  	sat.     	-     	5			  	name     	`?   	l'._(1
				 	:.  '		a�   	ra		Ora  4,
					city	 	c•.1�.	  	•		r�, ^''�				 	city	  	county	  	<rnlr	 	zip
					Tel:		  	Fax						    	Tel'		  	r.  Fax
	 	Does anyone reside on the premises where an ani    	is kept?     	Yes  0 No	 	If yes, how many persons?
	 	Are the facilities open to the public?   	❑ Yes    	No	   	yes, describe in detail the type of operation which involves the public,
	 	including hours of operation, average number  f   	itors per day, and any safety or emergency plan:
								   	(Attach additional sheet it required)
	 	Are you requesting approval of any deviation from the Caging Requirements and Standards established by the Texas Board
	 	of Health?   	0 Yes  0 No	 	If yes, attach additional sheet describing in detail the deviation sought and the reason therefor.
	 	List the name, address and phone number of the nearest medical emergency service agency and law enforcement agency for contact in case
	 	of an emergency involving an escape or attack by an animal:
		  	Medics! E • w =envy     	'co Agency:		     	'		Law Enfor   	a   	Ag;				    	1 /
		  	Name:		    	..					     	Name:    	at t   	f		   	.,.
		  	Address:															     	t
																	 	gill
			    	"     	► /ih '.f		i(    	n			Address:		  	-		-	     	'',
		   	e.:					     	El su 'j  R	   	e :	   	iril�[►'�lwG
	 	Do you understand that if a Certificate of Registration is - is  y ou must publically display the Certificate at the
	 	location where any of the animals are kept and you must also file a copy of the Certificate with the Texas
	 	Department of Health in Austin, Texas along with a filing fee of $20 per animal within 10 days after it is issued
	 	and that failure to do so may result in a fine and/or revocation of your certificate?							P Yes  ❑ No
	 	V.  REQUIRED SUBMISSION ITEMS:
	 	I have submitted with this application the folio		ems:
		  	1.		A non - refundable fee of $												Wes 0 No
		  	2.		Proof of the required Iiabih   	insurance (minimum $100,000) (This must be in the form of an insurance
			   	certificate signed by the issuing company or agency and addressed to the appropriate animal
			   	registration agency.)												  	es    	No
		  	3.		Color photo of each animal for which a certificate of registration is sought, taken no earlier than 30 days
			   	prior to this application date.  (The photo must clearly show the face, eyes, nose, ears and neck of the
			   	animal with the animal's name and the photo date written on the back.)					   	es    	No
		  	4.		A photograph and scaled diagram of the primary enclosure in which each animal is to be kept.
			   	(Identify on each photograph and diagram which animal listed above will be kept in
			   	the primary enclosure shown.)										    	Y    	❑ N o
		  	5.		A scaled diagram of the premises where any animal will be kept showing the location of each primary
			   	enclosure; any residence situated on the premises; and the perimeter fencing.				    	Yes  ❑ No
		  	6.		If applicable, a copy of the Applicant's Class A or Class B Dealers License or Class C Exhibitors
			   	License issued under the federal Animal Welfare Act.						    	N/A  0 Yes  0 No
		  	7.		If this application is fora renewal certificate of registration, the required veterinarian certificate
			   	certifying that the animal's health and care meets or exceeds the standards prescribed in
			   	Subchapter E, Chapter 822 of the Texas Health & Safety Code.						0 N/A   	Yes  ❑ No
	 	VI.  SWORN STATEMENT:
																		   	Page 3 of 3
																					•
	    	Un.er Ienalties of perjury the  -;   	igned certifies:  that all information in this Application and in the Required Submission Items is true,
	    	co : ple e and correct  • .  1 e  ndersigned has read the material listed in LA. of the Instructions; and that all facilities used to confine or
	    	er  lose   	e ani...  s  coveres by this App '  . lion comply with the Caging Requirements and Standards established by the Texas Board of
	    	Iialth.							 	__
		    	•
			 	.i			- rid		    	Subscribed and sworn to before me the undersigned authority this  .5 0
	    	&gna  le    	pli  .nt or Authoriz:• Agent			  	da y of  ,7Ul1P,	  	20(Q
						     	C  e ..!"..  JENNIFER ANN NOfiTON
	    	Date:     	!			   	S * *:NO��bdiae    	� � ! « ii �_	  	Chit S ate		Li.! //(
																			•
							  	py	    	JUNE 9 .2012��	     	° ary Public  and for the     	of   	xa6
																			•
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																					i
																			•
																			•
																					i
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																					•
																			     	•
																	     	Page 3 of 3
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		    	Corporations Section				   	, z -,;f.  �j'..				  	HO pe Andrade
									     	r   	- F   	F				     	Secretary of Stale
		    	P.O.Box 13697					   	: ,    	='y' x
									     	-
		    	Austin. Texas 78711 -3697			    	tyQi.   	,p,4%,  h]�
							 	Office  of the  Secretary  of State
							     	CERTIFICATE OF FILING
										 	OF
																			•
									  	Hatari  Safari
								    	File Number:  801281280					    	•
																			•
		    	The undersigned,  as Secretary of State of Texas,  hereby certifies that a Certificate of Formation  for the
		    	above named Domestic  Nonprofit  Corporation  has  been  received  in  this office  and  has  been  found  to
		    	conform to the applicable provisions of law.
		     	ACCORDINGLY,  the  undersigned,  as  Secretary  of State,  and  by  virtue  of the  authority  vested  in  the
		     	secretary by Iaw, hereby issues this certificate evidencing filing effective on the date shown below.
		     	The issuance of this certificate does not authorize the use of a name in this state in violation of the rights
		     	of another under the federal Trademark Act of 1946, the Texas trademark Iaw, the Assumed  Business for
		     	Professional Name Act, or the common Iaw.
																			•
																			•
		     	Dated: 06/11/2010
																			•
																			•
		     	Effective:  06/11/2010
																			•
																			•
																			•
				(c.r4		   	v1.   	>,<
			 	••••"4  �   	A � �							  	Hope Andrade
				 	`�     	�							    	Secretary of State
								Cane visit as an the Internet at hap:  u so.s.state.I .us
		     	Phone: (512) 463-5555			     	Fax: (512) 463 -5709		    	Dial: 7 -1 -1  for Relay Services
		     	Prepared by: Virginia Tobias			   	TID: 10306			    	Document 3 1 1546810002
		    	06/11/10   	FRI  13:43  FAX  3307926650	     	COPIES  G  MORE					    	Z003
			  	Form 202			     	.40.1.1:114,			This space reserved for office use.
			  	(Revised 12104					d '' 4					  	F ILED
									     	2 4
									 	d
			  	Submit in duplicate to:		     	4 „•.				   	In the Office of the   	' • •
			  	Secretary of State			   	�`,					Secretary. of State of Texas  •
					Box 13607
			  	Austin, TX 78711 -3697     	Certificate of Formation			  	JUN  11  2010
			  	Aus
			  	512 463 -5555		  	Nonprofit Corporation						     	•
			  	FAX: 5121463 -5709							    	Corporations Section
			  	Filing Fee:  $25
																			•
							    	Article 1- Entity Name and Type
																			•
			 	The filing entity being formed is a nonprofit corporation.  The name of the entity is:			    	•
																			•
						   	Article 2 - Register   	Agent and Registered Office
						    	(See inetrucfoas. Scloct mid complete either A or B and complem C.)
			     	A.  The initial registered agent is an organization (cannot be emit) named above) by the name of:
																			•
								•
			     	B.  The initial registered agent is an individual resident of the state whose name is set forth below:
				  	A  it.11l1
			  	Fen0412ne					Alf .	     	Last:Vain<				   	Sutra	     	'..
			  	C.  The business address of the registered agent and the registered office address is:
																			•
																			•
			  	X 139		1   	nc				    	a/�}		 	Tx	 	180as
																			•
			  	Street Address  � Iw     	VE9h	     	City	     	"'  `		 	State    	Zip Code
								   	Article 3 - Management'
			  	The management of the affairs of the corporation is vested in the board of directors.  The number of
			  	directors constituting the initial board of directors and the names and addresses of the persons who are
			  	to serve as directors until the first annual meeting of members or until their successors are elected and
			  	qualified are as follows:
			 	t						A Atlnlmnm of three cbrectors G required
			  	Direetm t													    	•
			  	Rr r Nauru				   	0.1./.	 	t    	m				   	vv . fib:
			  	l\m				  	M
									C		  	1  s   	1
			  	Ora Noire				    	l.	 	Lac, NomSi jir
			   	H.R 3   	,\1Ar1C  rflr1   	ILO   	cry    	tm     	O.	     	;     	14 10 Y
																     	..
			  	Street orMmlrng Address						     	State     	Zip Code	 	Country
			   	t										     	,
			   	e •
			   	•
															    	i     	.
			  	ram vrr						 	6
		    	66/11/10   	FRI  13:43  FAX  8307926650	     	COPIES  Fr  MORE					    	f011604
												   	•
			  	Director 2
			  	A-)■(\\4 a				A			 	a
			 	First Name 2					Ml.	   	Last MIMIC
												    	1:     	7 °0   	Suffix
			 	Street or  ailing Address				Ciry			   	State     	Zip Code	 	Count
			 	Directar3						     	.� ( I rt � , / ^ ' ' /�J.�}l—
			 	First Name				   	MIL	    	�t Name			     	Suffix
			  	5�y    	►'\   	- Oevic,e	    	(kWa,a	   	\1		8)-B3
			 	Street or Mailing Address			 	!tv			   	State     	Zip Code     	•   	Country
			  	OR
			  	j  The management of the affairs of the corporation is to be vested in the nonprofit corporation's
			 	members.
								   	Article 4 — Membership
				     	(See instructions. Do not select statement B if the corporation is to bo managed by its members.)
																			•
			     	A.  The nonprofit corporation shall have members.
																			•
			     	Ei .  The nonprofit corporation will have no members.
																			•
								     	Article 5 — purpose
			   	(See instructions.  This form does not contain Language nex to obtain a tax - exempt status on the state or federal level.)
																			•
			  	The nonprofit corporation i  organized for the followi ag purpose or purposes:				   	•
						5R     	l ^a ac  Q/	   	J
																			•
			  	The following text area may be used to include a.iy additional language or provisions that maybe needed to obtain iuz- esemp( status.
																			•
			  	•
			  	•
			  	•
			  	•
			  	•
			  	Faun 202						 	7
																			•
		   	06/11;10   	FRI  17:44  FAX  8707926650			COPIES  &  MORE					    	0005
							   	Supplemental Provisions/Information
									 	(See instructions.)
			 	Tent Area   	e attached addend  ..  if ;   	is into ..rated herein •  refetencc.
									  	Organizer
																			•
			 	The name and address of the organizer
					     	�f
			 	Nam
			   	1- I39	 	C     	11c,  or    	\ -\ \ -- t6t	 	\'i\ (\f	   	— Ti(     	- 79
			 	Street or.bfm.rng AddreSS			 	CI				 	Slate	 	zip Code
							  	Effectiven of F.[irr  (Select either A, B. or C)
			  	A.    	This document becomes effective when the document is filed by the secretary of state.
																			•
			  	B. ❑ This document becomes effective at a later date, which is not more than ninety (90) days from
			  	the date of signing.  The delayed effective date is:			     	_				 	•
			  	C. ❑ This document takes effect upon the occurrence cf a future event or fact, other than the
			  	passage of time.  The 90 day after the date of signing is:
			  	The following event or fact will cause the document to take effect in the manner described below:
									   	Execution							 	I
			  	The  undersigned  affirms  that  the  person  designated  as  registered  agent  has  consented  to  the
			  	appointment.  The undersigned signs this document subject to the penalties imposed by law for the
			  	submission of a materially false or fraudulent instrum• it and certifies under penalty of perjury that the
			  	undersigned is  uthorized to execute the filing inst ui   	it.
											  	•
			  	Date:    	(I)	 	/    	0  I 0
										    	►   	l/a s � -•.,/    	/
									    	Sign: w 0 organi ill
			   	•							 	A M   	IF		a   	III  1   	--
									    	Prmted or typed n  :: a of organizer
			  	Fntm 202						 	8
			fig �,,i pc: DEPARTMENT  OF  THE  TREASURY
		   	�0 lTw INTERNAL  REVENUE  SERVICE
			   	CINCINNATI   	OH    	45999 -0023
												     	Date  of  this  notice:   	06 -16 -2010
												     	Employer  Identification  Number:
												     	27- 2860291
												     	Farm:   	SS -4
												    	Number  of  this  notice:   	CP  575  E
				  	HATARI  SAFARI
				  	1 -TTARI  SAFARI  ANIMAL  SANCTUARY
				    	NATARI  SAFARI  ANIMAL  SANCTUARY		     	For  assistance  you  may  call  uS  at:
				  	4393  JUNCTION  HWY					   	1 -800 -829 -4933
				  	INGRAM,  TX   	78025										    	•
												     	IF  YOU  WRITE,  ATTACH  THE		•
												     	STUB  AT  THE  END  OF  THIS  NOTICE.
																			•
						   	•
					     	WE  ASSIGNED  YOU  AN  EMPLOYER  IDENTIFICATION  NUMBER
					Thank  you  for  applying  for  an  Employer  Identification  Number  (FIN)-   	We  assigned  you
			 	EIN  27- 2860291.   	This  EIN  will  identify  you,  your  business  accounts,  tax  returns,  and
			 	documents,  even  if  you  have  no  employees.   	Please  keep  :his  notice  in  your  permanent.
			 	records.
																			•
					When  filing  tax  documents,  payments,  and  related  correspondence,  it  is  very  important
			 	that  you  use  your  EIN  and  complete  name  and  address  exactly  as  shown  above.   	Any  variation
			 	may  cause  a  delay  in  processing,  result  in  incorrect  information  in  your  account,  or  even
			 	cause  you  to  be  assigned  more  than  one  EIN-   	If  the  information  is  not  correct  as  shdwn
			 	above,  please  make  the  correction  using  the  attached  tear  off  stub  and  return  it  to  us.
					Assigning  an  EIN  does  not  grant  tax - exempt  status  to  non - profit  organizations.
			 	Publication  557,  Tax  Exempt  Status  for  Your  Organization,  has  details  on  the
			 	application  process,  as  well  as  information  on  returns  you  may  need  to  file.   	Tc  apply
			 	for  formal  recognition  00  tax - exempt  status,  most  organizations  will  need  to  complete
			 	either  Form  1023,  Application  for  Recognition  of  Exemption  Under  Section  501(c)  (3)  of
			 	the  Internal  Revenue  Code,  or  Form  1024,  Application  for  Recognition  of  Exemption.
			 	Under  Section  501(a).   	Submit  the  completed  form,  all  applicable  attachments,  and  the
			 	required  user  fee  to:
																			•
			 	Internal  Revenue  Service
			 	PO  Box  192
			 	Covington,  KY   	41012 -0192
					The  Pension  Protection  Act  of  2006  contains  numerous  changes  to  the  tax  law
			 	provisions  affecting  tax - exempt  organizations,  including  an  annual  electronic
			 	notification  requirement  (Form  990 -N)  for  organizations  not  required  to  file  an  annual
			 	information  return  (Form  990  or  Form  990 -EZ).   	Additionally,  if  you  are  required  to
			 	file  an  annual  information  return,  you  may  be  required  to  file  it  electronically.
			 	Please  refer  to  the  Charities  &  Non - Profits  page  at  www.irs.gov  for  the  most  current
			 	information  on  your  filing  requirements  and  on  provisions  of  the  Pension  Protection
			 	Act  of  2006  that  may  affect  you.
					To  obtain  tax  forms  and  publications,  including  those  referenced  in  this  notice,
			 	visit  our  Web  site  at  www.irs.gov.   	If  you  do  not  have  access  to  the  Internet,  call
			 	1- 800- 829 -3676  (TTY /TDD  1- 800 -829 -4059)  or  visit  your  local  IRS  office.
						 	•
			 	(IRS  USE  ONLY)     	575E				06 -16 -2010   	HATA   	0   	9999999999   	S5 -4
			 	IMPORTANT  REMINDERS:
					*   	Keep  a  copy  of  this  notice  in  your  permanent  records.   	This  notice  is  issued .only
				   	one  time  and  the  IRS  will  not  be  able  to  generate  a  duplicate  copy  for  you.   	•
					*   	Use  this  EIN  and  your  name  exactly  as  they  appear  at  the  top  of  this  notice  On  all
				   	your  federal  tax  forms.
					*   	Refer  to  this  EIN  on  your  tax - related  correspondence  and  documents.
																			•
					*   	Provide  future  officers  of  your  organization  with  a  copy  of  this  notice.
					If  you  have  questions  about  your  EIN,  you  can  call  us  at  the  phone  number  or  write  to
			 	us  at  the  address  shown  at  the  top  of  this  notice.   	If  you  write,  please  tear  off  the  stub
			 	at  the  bottom  of  this  notice  and  send  it  along  with  your  letter.   	If  you  do  not  needto
			 	write  us,  do  not  complete  and  return  the  stub.   	Thank  you  for  your  cooperation.
																			•
																			•
																			•
																			•
																			•
																			•
																			•
																			•
																			•
							   	Keep  this  part  for  your  records_	    	CP  575  E  (Rev.  7 -2007)
			   	Return  this  part  with  any  correspondence
			   	so  we  may  identify  your  account.   	Please						   	CP  575  E
			   	correct  any  errors  in  your  name  or  address_
															    	9999999999
			   	Your  Telephone  Number   	Best  Time  to  Ca11   	DATE  OF  THIS  NOTICE:   	06 -16 -2010	    	•
			   	(		)	  	-						EMPLOYER  IDENTIFICATION  NUMBER:   	27- 2860291
										     	FORM:   	SS -4		   	NOBOD
																			•
			  	INTERNAL  REVENUE  SERVICE						HLATARI  SAFARI
			  	CINCINNATI   	OH    	45999 -0023				   	HATARI  SAFARI  ANIMAL  SANCTUARY  •
			  	1.1..LI I LLd L LI,JI   	II    	LI  IIJ I J				  	a  HATARI  SAFARI  ANIMAL  SANCTUARY
												  	4393  JUNCTION  HWY
												  	INGRAM,  TX   	78025
		    	06;11/10   	FRI  13:44  FAX  8307926650	     	COPIES  fi  MORE					    	ral 006
		   	ARTICLE 11I:  CORPORATE PURPOSES
		   	Section  1.  Purposes.  The Corporation is organized exclusively for the following
		   	purposes:
				   	(a) To fund an  animal sanctuary for exotic, or endangered  animals, rare
		   	birds,  and other creatures who are unwanted, rejected, abused or otherwise
		   	neglected by rescuing, fostering and providing food,  medical care and safe
		   	shelter for such creatures until such creatures can be placed Into caring and
		   	responsible homes or live out their lives at the sanctuary or foster locations.
		   	Life -long care means that animals-are not euthanlzed except when compassion
		   	for a suffering animal demands that act, and no reasonable alternative exists.
				   	(b)  To establish a place and safe haven for dangerous wild animals
		   	who have become injured or who are taken out of the wild to serve as pets and
		   	later abandoned  and in need of a safe place to live until they can be  returned to
		   	the wild or live out their lives at the sanctuary or foster locations.
				   	(c)  To educate the public about the relations between humans and
		   	non - humans, especially their financial and non-financial responsibilities and
		   	commitments to their exotic animals and  rare  birds.
				   	(d)  To work with local game professionals, and organizations for
		   	endangered and exotic animals.
				   	(e)  To educate the public about the benefits of exotic and endangered
		   	animals
				   	(f)  To educate the public on the benefits of  animal sancutaries and
		   	ensuring the survival of the endangered and threatened species.
				   	(g)  To work closely with existing animal control organizations to assist
		   	in the prevention of cruelty to stray, abandoned, or feral creatures, exotic
		   	animals and rare birds.
				   	(h)  To assist other humane organizations in providing foster care and
		   	locating responsible homes for adoptable animals and  birds.
				   	(i)  To educate the public about proper care and facilities for exotic  and
		   	endangered animals and rare birds, and provide assistance with ensuring species
		   	survival.
				   	(j)  Such other purposes as the Directors may from time to time adopt
		   	consistent with the overall mission of the sanctuary
				   	(k) To operate exclusively for charitable and educational purposes,  and
		   	for the prevention of cruelty and extlntion of animals, within the meaning of
		   	Section 501(c)(3) of the Internal Revenue Code of 1986 (or the corresponding
		   	provision of any future United States Internal revenue law).
		 	PATRICK O'NEIL, D.V.M.
														   	PEDERNALES VETERINARY CENTER
																		 	P.O. Box 109
																   	Fredericksburg, TX 78624
																  	Telephone: (830) 997-9889
	   	1
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					 	CERTIFICATE  OF  INSURANCE
		PRODUCER:							    	DATE ISSUED..  06/30/2010
										   	COMPANY:
	 	LESTER KALMANSON AGENCY, INC.				 	100%  CERTAIN UNDERWRITERS AT LLOYD'S 1
	  	P.O. BOX 940008							    	LONDON
	  	MAITLAND, PL  32794- 0008
	  	PH: (407) 645.5000						     	BINDER#  CLCMB 9324
	  	FAX: (407) 645 -2810
		NAMED INSURED:
										    	EFFECTIVE DATE:		   	EXPIRATION DATE:
		HATARI SAFARI ANIMAL SANCTUARY, INC.			  	06 /30/2010					12/30/2010
		C/O AMY TUMA
		4393 JUNCTION HIGHWAY
     	INGRAM, TX  78025						  	(BOTH DAYS AT 12: 01  A.M.  LOCAL STANDARD TIME)
								 	COVERAGE INFORMATION
		THIS I5 TO CERTIFY THAT THE POLICY(S) OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED
		NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOT WITHSTANDING ANY REQUIREMENT, TERM(5) OR
	 	CONDITION(S) OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE 5) MAY
		BE  ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE  POLICY(S)  DESCRIBED HEREIN IS SJBJECT TO
		ALL  THE TERMS, EXCLUSIONS AND CONDTCIONS OF SUCH POLICIES.  LIMITS OF LIABILITY SHOWN MAY HAVE
		BEEN REDUCED BY ANY PAID CLAIMS.
		TYPE OF INSURANCE:							LIMITS:
     	ji  GENERAL, LIABILITY					    	GENERAL AGGREGATE:		   	S100,000,00
		15  CLAIMS MADE						    	LIMITED  PRODUCTS AGGREGATE
	   	OWNERS, LANDLORDS, & TENANTS			  	PERSONAL & ADV. INJURY:	     	5.0-
										   	EACH OCCURRENCE:		     	5100.000.00
	 	RETRO DATE:  06/30/2010					   	FIRE DAMAGE (ANY ONE FIRE)	   	S -0-
	 	CERTIFICATE VALID ONLY WITH ATTACHED ADDENDUM "A"  FOR DESCRIPTION OF LIABILITY COVERAGE(S)
	  	AFFORDED.
	  	INSURED LOCATION:  4393 JUNCTION HIGHWAY
					 	INGRAM, TEXAS  78025
	 	THIS CERTIFICATE IS ISSUED AS A MATTER OP INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE
		CERTIFICATE HOLDER.  THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER. THE COVERAGE(S) AFFORDED
		BY  THE POLICY(S)  LISTED_
	 	SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE  HEREOF,
	 	THE ISSUING COMPANY WILL ENDEAVOR TO MAIL  00  DAYS WRITTEN NOTICE TO THE  CERTIFLC:    	HOLDER
	 	NAMED BELOW, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION  &/OR LI   	:  L1TY OF ANY
	 	KIND UPON THE COMPANY, IT'S AGENTS &JOR REPRESENTATIVES &/OR KALMANSON  ET AL.
		CERTIFICATE HOLDER / PROOF OF  INSURANCE			   	AUTHORIZED REPRESENT   	IVE:
	 	PROOF OP INSURANCE ONLY
											     	X
											     	MITCHEL KALMANSON /
	     	/20/2010  12:57  FAX												     	U003
						     	CLAIMS	  	MADE
				    	CONFIRMATION     	OF     	INSURANCE
																	     	=-
		 	AGENCY:    	LESTER  KALMANSON  AGENCY  INC.
				  	P.O.   	BOX  940008  MAITLAND,   	FL.    	32794-0008	 	U.S.A.
				  	PH)   	407-645-5000  -    	FAX)   	407-645-2610
		 	DATE:   	06/30/2010					 	BINDER  #:   	CLCMB  9324
																	     	=---
		 	IN  ACCORDANCE  WITH  YOUR  INSTRUCTIONS,   	WE  HAVE  EFFECTED  THE  FOLLOWING
		 	INSURANCE  COVERAGE.   	THE  PREMIUM  FOR  THIS  INSURANCE  IS  DUE  AND  PAYABLE
		 	AS  OF  THE  ATTACHMENT  DATE,   	UNLESS  OTHERWISE  AGREED.
		 	NAMED  INSURED  /  MAILING  ADDRESS:   	HATARI  SAFARI  ANIMAL  SANCTUARY,   	INC.
										 	C/O  AMY  TUMA
										 	4393  JUNCTION  HIGHWAY
										 	INGRAM,   	TEXAS  78025
																	     	4 ---
		  	(DESIGNATED)   	INSURED  LOCATION:   	4393  JUNCTION  HIGHWAY
									    	INGRAM,   	TEXAS  78025    	ONLY
		   	----------													 	4    	-
		 	PERIOD  OF  INSURANCE:   	FROM:   	06/30/2010  TO:   	12/30/2010  T4RM:   	SNORT  TERM
			   	(  BOTH  DAYS  FROM  12:01  AM  LOCAL  STANDARD  TIME   	!   	)   	SIX   	(6)  MOIITHS
				  	......... ==
		 	DESCRIPTION  OF  INSURANCE:   	SEE  ATTACHED  ADDENDUM  "A"   	FOR  DETAILS
		 	POLICY  FORM:   	OWNERS',   	LANDLORDS',   	&  TENANTS'   	LIABILITY  INSURANCE
							     	(  A  MANUSCRIPT  POLICY  FORM   	!   	)
		 	LIMIT  OF  LIABILITY:   	$100,000.00  PER  OCCURRENCE  /  $100,000,00  AGGREGATE
		 	PRIOR  ACTS  COVERAGE  AFFORDED:    	NONE
		 	RETRO  ACTIVE  DATE:    	06/30/2010    	DATE  OF  INCEPTION  @  12:01  AM  LOCAL
		 	STANDARD  TIME
		 	ERP  OFFERED   	(EXTENDED  REPORTING  PERIOD):   	YES
		 	DEDUCTIBLE:   	$12,500.00	  	PER  CLAIM   	(BODILY  INJURY/PROPERTY  DAMAGE)
								    	INCLUDING  L.A.E.
			    	--------------------------------------
		 	PREMIUM:   	$3,121.08   	(INCL.   	FEES  &  TAXES)(PREMIUM  IS  100%  FULLY  EARNED)
														    	==
		 	CONDITIONS:   	SUBJECT  TO  POLICY  ISSUANCE.
		 	ADDITIONAL  INSURED:   	NONE  NOTED
													 	=				=-	   	-
		 	CARRIER:   	100%  CERTAIN  UNDERWRITERS  AT  LLOYDS   	/  LONDON
		 	THIS  DOCUMENT  IS  INTENDED  AS  EVIDENCE  THAT  THE  INS  RANC    	DESCRIBED
		 	HEREUNDER  HAS  BEEN  EFFECTED  AS  STATED.   	IMMEDIATE  A0VIC2  MUST  BE  GIVEN
		 	OF  ANY  DISCREPANCIES,   	INACCURACIES  OR  NECESSARY  C     	GE..
																s
		 	DATE  ISSUED    	06/30/2010				    	MITCHEL  '<AVON  -  PRES.
		 	PAGE  1  OF  3				    	P54-8	     	1/09				 	CM
							 	C    	L    	A    	I    	M    	S		M   	A    	D    	E
						     	A  D  D  E  N  D  U  M     	"A"     	F  O  R:
						    	HATARI  SAFARI  ANIMAL  SANCTUARY,   	INC.
								  	C/O  AMY  TUMA
	 	AGENCY:    	LESTER  KALMANSON  AGENCY  INC.
			  	P.O.  BOX  940008
			 	MAITLAND,   	FLORIDA  -  U.S.A.
			  	PH:   	407- 645 -5000    	FAX:   	407 645 - 2810
	  	POLICY  PERIOD  /  TERM:   	06/30/2010  TO  12/30/2010    	TERM:   	SHORT  TERM
								(12:01  AM  LOCAL  STANDARD  TIME)    	SIX   	(6)   	MONTHS'
	  	POLICY  /  BINDER  NUMBER;   	CLCMB  9324
	  	DESCRIPTION  OF  CLAIMS  MADE  LIABILITY  INSURANCE  COVERAGE(S)   	AFFORDED:
	  	COMMERCIAL  EXOTIC  ANIMAL  OWNERS  LIABILITY  COVERAGE  IS  AFFORDED  FOR  VARIOUS  OWNED
	  	EXOTIC  ANIMAL(S)  WHILE  UNDER  THE  DIRECT  CONTROL  /  SUPERVISION  OF  THE  NAMED  INSURED
	  	ONLY,  WHILE  ON  THE  NAMED  INSURED'S  DESIGNATED  PREMISES  LOCATED  AT  4393  JUNCTION
	  	HIGHWAY,   	INGRAM,   	TEXAS  76025  ONLY.
	    	WARRANTED:
	   	1)   	COMMERCIAL  EXOTIC  ANIMAL  OWNER'S  LIABILITY  COVERAGE  AFFORDED
		  	IS  LIMITED  TO  DIRECT  BODILY  INJURY  & /OR  PROPERTY  DAMAGE
		 	CAUSED  BY  THE  VARIOUS  OWNED  EXOTIC  ANIMAL(S)   	ONLY.
	   	2)   	PREMISES  LIABILITY  IS  SPECIFICALLY  EXCLUDED  FOR  THE
		 	NAMED  INSURED'S  DESIGNATED  PREMISES  UNLESS  OTHERWISE  ENDORSED
		 	HERETO  &  /  OR  HEREUNDER  AND  AN  ADDITIONAL  PREMIUM  IS  CHARGED.
	   	3)   	NO  LEGAL  LIABILITY  COVERAGE  IS  AFFORDED  FOR  ANY  CARE,
		 	CUSTODY  & /OR  CONTROL  OF  ANY  NON -OWNED  EXOTIC  ANIMAL(S).
	   	4)   	ANIMAL  MORTALITY  COVERAGE  IS  SPECIFICALLY  EXCLUDED.
	   	5)   	NO  PHYSICAL  DAMAGE  COVERAGE  IS  AFFORDED  UNLESS  SPECIFICALLY
		 	SCHEDULED  HERETO  AND  AN  ADDITIONAL  PREMIUM  IS  CHARGED.
	   	6)   	OFF  PREMISES  LIABILITY  IS  SPECIFICALLY  EXCLUDED  UNLESS
		 	OTHERWISE  ENDORSED  HEREIN  &  /  OR  HERETO  AND  A  SEPARATE  PREMIUM
		 	I5  CHARGED.
	   	7)   	NAMED  INSURED  MUST  MAINTAIN  ALL   	(APPLICABLE)   	LOCAL,   	COUNTY,
		 	STATE  & /OR  FEDERAL  LICENSE(S)   	& /OR  PERMIT(S)   	& /OR  REGISTRATION(S)'
		 	NECESSARY  TO  OWN  & /OR  POSSESS  ANY  EXOTIC(S),   	REPTILE(S)   	ANIMAL(S)'
		 	& /OR  WILDLIFE  TO  BE  INSURED  HEREIN  & /OR  HERETO.
	   	8)   	NAMED  INSURED  MUST  MEET  & /OR  EXCEED  ANY  MINIMUM  STANDARDS  SET  FORTH
		 	BY  LOCAL,   	COUNTY,   	STATE  & /OR  FEDERAL   	(REGULATORY)   	ANIMAL  AGENCY(S.).
	 	PAGE  2  OF  3--- COMMERCIAL - P54 - B				 	1 -09		   	EXOTIC
     	30/2010   	12:57  FAX																005
	    	BRIEF  EXPLANATION  OF  CLAIMS -MADE  LIABILITY  INSURANCE  POLICY  FORM
									PLEASE  READ  CAREFULLY
	  	THIS  FORM  IS  A  MANUSCRIPT  POLICY  FORM  AND  HAS  VARIOUS  POLICY  RESTRICTIONS.
		A)		CLAIMS - MADE  LIABILITY  POLICY:   	COVERS  BODILY  INJURY  & /OR  PROPERTY
		  	DAMAGE  WHICH  OCCURS  ON  OR  AFTER  THE  RETROACTIVE  DATE,   	AND  FOR  WHICH  A
		  	CLAIM  IS  FIRST  MADE  DURING  THE  POLICY  PERIOD.   	CLAIMS  UNDER  THIS  POLICY
		  	MUST  BE  SUBMITTED  BY  THE  INSURED  To  THE  CARRIER  (C /O  LESTER  KALMANSON
		  	AGENCY)   	DURING  THE  POLICY  PERIOD   	(AS  OUTLINED  WITHIN  THE  LOSS  NOTIFICATION
		  	CLAUSE  WITHIN  THE  POLICY)   	IN  ORDER  FOR  COVERAGE  TO  APPLY.
		H)	 	RETRO- ACTIVE  DATE;  A  DATE  STATED  IN  THE  DECLARATION  OF  A  CLAIMS -
		  	MADE  LIABILITY  COVERAGE  FORM  WHICH  IS  NORMALLY  THE  SAME  DATE  AS  THE  DATE  OF
		  	THE  ISSUING  COMPANY'S  FIRST  CLAIMS -MADE  POLICY  FOR  THE  INSURED.    	NO  COVERAGE
		  	I5  PROVIDED  UNDER  THE  CLAIMS - MADE  FORM  FOR  BODILY  INJURY  & /OR  PROPERTY  DAMAGE
		  	THAT  OCCURS  PRIOR  TO  THE  RETROACTIVE  DATE.
		C)	 	PRIOR  ACTS:    	THIS  PROVISION  IN  A  CLAIMS - MADE  POLICY  EXCLUDES  COVERAGE  FOR  ANY
		  	CLAIMS  MADE  DURING  THE  POLICY  PERIOD  THAT  ARISE  FROM  AN  OCCURRENCE  PRIOR  TO
		  	THE  INCEPTION  OR  RETRO- ACTIVE  DATE  LISTED  ON  THE  POLICY.
		D)	 	COVERAGE  TRIGGER:  THIS  CLAIMS -MADE  LIABILITY  FORM  APPLIES  ONLY  TO
		  	A  BODILY  INJURY  & /OR  PROPERTY  DAMAGE  FOR  SCHEDULED  OPERATION(S)   	& /OR'
		  	ACTIVITY(S)   	ONLY  FOR  WHICH  THE  CLAIMS  & /OR  INCIDENT  HAS  BEEN  RECEIVE(  BY  THE
		  	UNDERWRITERS   	(C /0  LESTER  KALMANSON  AGENCY)   	DURING  THE  STATED  POLICY  PERIOD.
		E)	 	EXTENDED  REPORTING  PERIOD  AKA:   	TAIL  COVERAGE:  A  PERIOD  OF  TIME
		  	PROVIDED  BY  THE  CLAIMS -MADE  LIABILITY  INSURANCE  POLICY  DURING  WHICH  COVERAGE
		  	WILL  HE  PROVIDED  FOR  SCHEDULED  ACTIVITY(S)   	& /OR  OPERATIONS)   	ONLY.    	CLAIMS
		  	MADE  BEYOND  THE  EXPIRATION  DATE  OF  THE  POLICY  IF  THE  COVERAGE  PART  IS:
			     	1)   	CANCELED  OR  NOT  RENEWED  OR
			    	2)   	IF  THE  INSURER  RENEWS  OR  REPLACES  THE  COVERAGE  PART  WITH  INSURANCE
				  	THAT  HAS  A  RETROACTIVE  DATE  LATER  THAN  THE  DATE  SHOWN  IN  THE
				   	DECLARATIONS,   	OR  WITH  AN  OCCURRENCE  FORM.				  	'..
		NOTE(S):
		  	1)   	THE  EXTENDED  REPORTING  PERIOD  WILL  BE  SUBJECT  TO  AN  ADDITIONAL
				PREMIUM  CHARGE.
		  	2)   	THIS  ENDORSEMENT  ONLY  EXTENDS  THE  TIME  OF  REPORTING
				CLAIMS  WHICH  OCCURRED  DURING  THE  ORIGINAL  STATED  POLICY
				PERIOD.
				 	REFER  TO  POLICY  FOR  ACTUAL  PRICING,   	TERMS  AND  CONDITIONS
	   	IF  YOU  HAVE  ANY  OTHER  QUESTIONS  FEEL  FREE  TO  CALL  THE  OFFICE.
		LESTER  KALMANSON  AGENCY,   	INC.
		P.O.   	BOX  940008
		MAITLAND,   	FLORIDA  32794 -0008  U.S.A.
		PH:   	407 - 645-5000  FAX:   	407- 645 -2810
		WEBSITE:  www.lkalmanson.com
		PAGE  1  OF  1					MWD					PS4 -B			   	BRIEF --
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									   	LAW  OFFICES
						 	MCGINNIS,  LoclismoE  &  KILGORE,  L.L.P.
								    	600  CONGRESS AVENUE
		 	HOUSTON.  TEXAS OFFICE				    	SUITE 2100				    	AUSTIN, TEXAS OFFICE
	     	3200  ONE  HOUSTON  CENTER			   	AUSTIN,  TEXAS  78701				 	(512)  495 -6000
		  	1221 MCKINNEY STREET										     	FAX  (512)  495 - 6093
		 	HOUSTON. TEXAS  77010
		    	(713)  615 -5500										    	WRITER'S DIRECT DIAL NUMBER:
		  	FAX (7(3)  615 - 5565			 	-
																	(512) 495 -6156
															  	al ucas @mcginn is law.com
															    	Fax: (512) 505 -6356
									   	July 9, 2010
				Robert Henneke										  	Via facsimile
				Kerr County Attorney
				700 Main Street
				Kerrville, Texas 78028
				Re:    	Kerr County,  Texas, a Political Subdivision of the State of Texas and Janie  Whitt v.  Clint
				 	Tuma  and Amy  Tuma,  Cause  No.  10 -579B,  In  the  198`  Judicial  District  Court,  Kerr
				 	County, Texas
				Dear Rob,
				 	Please  find  enclosed  the  materials  and  information  you  requested  to  supplement  the
				materials the Tumas provided with their Application for Certificate of Registration of Dangerous
				Wild Animals.
				 	As to your request that Kerr County be named as an additional insured, we are unaware
				of a basis for a requirement to do so.  Please refer us to any authority you may have that Kerr
				County should be named as an additional insured so that we can review it and take any necessary
				steps,  and  kindly  provide  us  with  a  copy  of all  insurance  policies  related  to  dangerous  wild
				animals naming Kerr County as an insured.
				 	As  the  Tumas'  application  has  been  completed  and  the  supplementary  requested
				information has been provided, please let us know when the Tumas can expect to  receive their
				Certificates of Registration.
										  	Thank  ou,
										     	i	 	f ak     	'i
										  	Apr" E. Luc.
				AEL
					Proof  of  Ownership
		   	0 7(09(2010   	16:56     	6303571001			 	BOTH  ID16RAh1				 	PAGE   	01
									PROOF OF OWNERSHIP
																		•
			  	Affidavit of Clint Tuxtla in Support of Application for Certificate of Registration for
								 	Dangerous Wild Animals
			  	STAIhOFTEXAS	  	§
							    	§
			  	COUNTY OF KERR
				  	BEFORE ME, the undersigned  authority,  personally  appeared  Clint Tuma, who,
			  	being by me duly sworn, deposed as follows:
			  	1.     	My name is Clint Tuna.  1 am 21  years of age, of sound mind, and am fully
			  	competent  to make this  affidavit.   	I have  personal  knowledge of all  of the facts  stated
			  	herein, and all the facts stated herein are true and correct.
			  	2,     	I  am  making this  affidavit for purposes  of providing  proof of ownership  at  the
			  	request  of Kerr  County  as  part  of my  application  for  a  Certificate  of Registration  for		    	�.
			  	Dangerous Wild Animals, specifically three mountain lions (also known as cougars), two
			  	tigers, and a bear cub.
			  	3.     	The three mountain lions (also known as cougars), two tigers, and Syrian bear cub
			  	are all injured, infirm, orphaned, or abandoned.  These animals were all obtained by my
			  	wife and ire as exotic rescued animals.  We operate Hatari Safari, an incorporated animal
			  	shelter  that  keeps  stray,  homeless,  abandoned,  or  unwanted  animals.   	We  did  not
			  	purchase them or obtain titles or other papers for the exotics.  These animals were not for
			  	sale.   	As  with  most  exotics,  they  do  not  have  title  documents.   	The  animals  were
			  	orphaned or abandoned and there was no purchase, payment, or transfer of title.
			  	4.	 	The  prior owner(s)  of the  animals  provided  no  documentation regarding  them.
			  	They abandoned  the animals  and  delivered  them into  our care  because, they  indicated,
			  	they were  no  longer able  to  care  for the  animals  themselves.  As  in the  ease  of many
			  	abandoned  and  rescued  animals,  the  prior  owner(s)'   	full   	identities  and  contact
			  	information is unknown.
			  	5.		More specifically,  Kiera,  a  mountain  lion,  has no  prior  owners,  no title,  and  no
			  	transfer of title documents.  She was orphaned when her..mother was killed, and she was
			 	rescued in West Texas as an infant approximately three and a half years ago.
			  	6.     	As is common in the exotics and game businesses, the animals that did have prior
			  	owners were delivered with no paperwork.  Fuzzy, the infant Syrian bear cub, has no title
		   	07/09/2010   	16:56     	8303671001			 	BOTH  INGRAM				 	PAGE   	02
			 	and no transfer of title documents.  She was delivered. to me by Calvin Taylor at the YO
			 	Ranch  Sale Barn.  The cub had no mother; the mother bear's  location and  condition is
			 	unknown and she may be dead.  Mr. Taylor was unable to take care of Fuzzy, an infant •
			 	who could only see a few inches and required 24 -hour supervision and bottlefeeding.  He
			 	indicated he took on the task of caring for the baby bear when her prior owner, an older
			 	man known as "Tony" could no longer do so because he had a heart condition and health
			  	problems.  Fuzzy was abandoned to us with no paperwork.
			  	7.     	The  two  mountain  lions  and  two  tigers  have  no  title  and  no  transfer  of title
			  	documents.   	They  were  delivered  by  a  representative  of  the  prior  owner  of  Fuzzy,
			  	"Tony."   	He  did  not  give  his  nam.e.   	He  abandoned  the  animals  to  us.   	He  first
			  	determined, he said, that they would be safe and well cared -for so he could report that to
			 	the prior owner, who he indicated was hospitalized and unable to care for them because
			  	of his illnesses, his inability to provide sufficient 24 -hour care, and difficulties obtaining
			  	proper  food  for them.  Like  the bear cub, the two tigers  and  two mountain lions  were
			  	abandoned to us with no paperwork.
			  	8.     	My wife and 1 own and care for each of the above - referenced animals.  There are
			  	no other putative owners or persons claiming ownership of any of the animals.  We have
			  	no contact information for "Tony" or for his representative.
									    	•
				  	Further affiant sayeth not.
												     	•
										     	Clint T  .  a
				  	Sworn to and subscribed before me, the undersigned authority, on this 9th day of
			  	July, 2010, to certify which witness my hand and seal of office.
												 	-4  Ararat!
										 	otary Public, State.  ,r exas
					   	CASSIE A HOFFMAN
				   	"Lc  Notary war5 State aTeas  r
				    	% .. : tMComiaim		60&s014�
				 	I w:  ,		   	0		   	Ca55ie  4 4 , F- 4navl
									     	(Printed or Stamped Name of Notary)
																					•
																					•
					  	Application   	for
							 	Insurance
							v  .r  ar  v  n  J     	1,  1  n  b  1  1.  1   	1   	1
		 	AGENCY:  LESTER  KALMANSON  AGENCY  INC.
					P.O.  BOX  940008
					MAITLAND,   	FLORIDA    	32794 -0008    	U.S,A.
					PH;   	407 - 645 -5000  /  FAX:   	407- 645 -2810
	  	************************************** ** * * * * * * * * * * * * * *** * * * * ** * * * * * **
							    	I  M  P  O  R  T  A  N  T
						     	THIS  IS  NOT  A  BINDER.
			  	INCOMPLETE  AND  UNSIGNED  APPLICATIONS  ARE  NOT  ACCEPTABLE.
	  	* * * * * * * * * * * * * * * * * * * * * * * * ** * * * **  ****** * * * ** * * * * * * * ** *** * * * * * ** * * * * * **
															h
	  	1)   	PROPOSED  EFFECTIVE  DATE:	    	,r     	Al		2)   	TERM	  	y,csr-
	  	3)   	NAME  OF  INSURED:    	PtN\  J    	To
	  	4)   	D.B.A.:
	  	5)   	MAILING  ADDRESS:    	L TS ( la		,)u.Y   	..  "i(`s?t"t	 	1N
	  	5)   	('()   	INDIVIDUAL   	(		)   	CORPORATION   	(		)   	PARTNERSHIP   	(		)   	OTHER:
	  	7)   	PHYSICAL  LOCATION(S)   	WiERE  ANIMAL(S)   	IS  /  ARE  KEPT  /  HOUSED:
			LA9.%   	..)u% \Q    	t'IY\					   	(IE.   	DESIGNATED  PREMISES)
	  	8 )   	PHONE	     	)    	0 D    	t3   	� - 7 5	 	FAX.   	(	  	)				    	-
	  	9)   	REQUESTED  LIMITS  OF  LIABILITY:		 	$  100,000	     	$     	300,000
		   	(PER  OCC../  AGG.)				     	$  500,000	     	$  1,000,000
								    	$1,000,000  PER  OCC.   	/  $  2,000,000  AGG.,
								    	OTHER   	(PLEASE  STATE  LIMITS  REQUESTED  )
	 	10)   	PROPOSED  DED'T:$		  	(  B.I  /  P.D.)   	PER  CLAIM  /   	(MIN.   	$1,000)
	 	11)   	(   	SCHEDULE  OF  COVERED  ANIMALS  TO  BE  INCLUDED  ON  THIS  POLICY.   	)
	    	I.D.  OF  ANIMAL   	( "AKA ")	 	AGE		SEX	  	USE	  	SPECIE	   	OTHER
		  	liokilmitimgoandimirreinAmmamiracillmor
			    	('TTACH    	EFAEATE  LI  T  /  SCHEDULE  OF  '   	IMALS  IF  NEE'
	     	__- _...___
	 	12)   	INDICATE  TOTAL  NUMBER  OF   	(EXOTIC)   	ANIMALS  TO  BE  SCHEDULED  FOR
		 	LIABILITY  PURPOSES.				 	(INDICATE  OWNED  OR  NON - OWNED)
	 	13)   	TOTAL  NUMBER  OF   	(EXOTIC)   	ANIMALS  OWNED  & /OR  NOT  OWNED  ON  PREMISES
		 	WHICH  ARE  IN  YOUR  CARE,   	CUSTODY,   	&  /  OR  CONTROL  NOT  INSURED.  Q
	 	14)   	ATTACH  COPY  OF  ANY  AND  ALL   	(FEDERAL,   	STATE,   	LOCAL)   	PERMITS,
		 	LICENSES,   	VET.   	RECORDS  -   	(KEPT),   	ETC.
																					•
	 	15)   	PLEASE  SIGN  THE  ATTACHED   	(EXOTIC)   	ANIMAL  WARRANT:
	 	PAGE  1  OF  4					PS4 /B					5/96			  	IEOA
			  	T  N  Tl  T  U  T  Tl  T 1  L  T		1     	v  n  m  T  1'  1		r  >,     	..
			 	PH:407- 645 -5000  /  FAX.   	407- 645 -2810
	  	A)   	NAME  OF  INSURED:		4  * !
	  	B)   	IS  YOUR  FAC  OPEN  TO  THE  PUBLIC  ?   	(IF  YES  -  PROVIDE  DETAILS)
	  	C)  ARE  YOU   	(THE  NAMED  INSURED)   	INVOLVED  TN  ANY  OTHER		I     	k.
			OPERATION(S)   	?   	(EXPLAIN)   	_						  	t  l    	L	     	Q(
																				 	1
	  	D)   	HOW  ARE  YOUR   	(EXOTIC)  ANIMAL(S)  TRANSPORTED  ,   	(  IE.  TO  AND  FRO
			VET.   	),   	PLEASE  PROVIDE  PICTURE(S)  AND  DESCRIPTION(S)   	OF  YOUR
			TRANSPORT  CAGES)  USED.												  	S
			►   	to	  	a __L  :1a	 	a	  	�►a  s,   	!	     	'		:  1		s  ! :1L	 	1:   	.! $     	r,OJ X   	S
	  	E)   	PROVIDE  DIAGRAMS)  OF  CROWD  CONTROL  BARRIER  S)   	/  FENCES  US  D  FOR
			YOUR  EXOTIC  ANIMALS)   	PRESENTATIONS.b  _	   	a    	IL`    	't  I
			• .i  - .•    	..   	s	 	a	  	s	  	sl     	I   	<a    	+..	 	X -.1:*  'A    	-	 	c!;
																	  	s
	  	F)   	IS  THE  PUBLIC  RESTRICTED pOM  ACCESS  TO  ALL  WORK  ,   	STORAGE  AND
			ANIMAL  ENCLOSURES  ?		4
	  	J)   	DESCRIBE  SAFETY  MEASURES  TO  AVOID  ATTRACTING  NUISANCE  HAZARD(S)   	-
			(FENCING,   	SIGNS,  ETC,)3  sokn	  	;strP  s  t`Lrstlzir  A  c A;�
	  	K)   	DESCRIBE  FREQUENCY  OF  PEN  CLEANING  AN'  ARE  PENS  SPECIFICALLY_
		 	CLEANED  TO  AVOID  SPREAD  OF  DISEASES?    	*	    	a,    	+		%1
	 	L)  ARE  ALL  BARRIERS  BETWEEN  THE  PUBLI  THE  ANIMALS  ADEQUATE
			TO  PREVENT  CONTACT  AND  /  OR  INJURY  ?
						  	s		  	i		 	f_
	 	REMARKS:
	 	I  UNDERSTAND  AND  AGREE  THAT  ANY  MISSTATEMENT  OF  WARRANTY  OF  FACT  ON
	 	THIS  APPLICATION  SHALL  BE  CONSIDERED  A  VIOLATION  OF  COVERAGE  AFFORDED
	 	UNDER  ANY  POLICY  ISSUED  ON  THE  BASIS  OF  THIS  APPLICATION.   	(  THIS
	 	SUPPLEMENT  WILL  BECOME  PART  OF  ANY  POLICY  ISSUED  :S  A  RESULT  OF  ITS
	 	SUBMISSION.)
				    	S  I  G  N  E  D     	AND     	D  A  T  E  D	 	Y  :-
				O.								  	x
												     	is		  	1    	C/
	 	DATE										     	"  ei i '!'  ,  D  INSURED
	 	PAGE  3  OF  4						PS4 -B		     	5/'  a		   	CEOA
			  	E  X  O  T  I  C     	A  N  I  M  A  L     	WARRANT     	E  N  D  T
	  	THIS  ENDORSEMENT  RESTRICTS  YOUR  POLICY.  PLEASE  READ  IT  CAREFULLY.
	 	THIS  ENDORSEMENT,   	EFFECTIVE:				,   	FORMS  A  PART  OF
								  	(AT  12:01  A.M.  LOCAL  STANDARD  TIME)
	 	POLICY  NO:
	 	ISSUED  TO:
	    	AGENCY:  LESTER  KALMANSON  AGENCY  INC. /  MAITLAND,   	FL.    	U.S.A.
			   	PH:  407- 645 -5000  /  FAX.   	407 - 645 -2810
	    	16)   	PROVIDE  COMPLETE  DETAILS  OF  YOUR  FACILITY  FOR  HOUSING  STATED
		   	ANIMALS.   	(IE.   	FENCING,   	CAGING  ETC.)   	(PROVIDE  PICTURES  &  DIAGRAMS)
	    	17)   	HAVE  YOUR  REGULAR  VET.   	FILL  OUT  THE  VET.   	CERT.  FOR  YOUR  ANIMAL(S)
	    	18)   	EXPLAIN  THE  EXAC   	USE  OF  ALL   	(EXOTIC)  / AN1MAL( \ S)   	TO  BE  INSUBED:
						l  8     	"4-411"	  	\. .Y    	ET { ' ` i Jb`  •�				i
	    	19)   	NAME  OF  YOUR  PRESENT  OR  EXPIRING  INSURANCE  COMPANY:    	!    	i !
	    	20)   	CURRENT  POLICY  LIMIT(S):$  / a5     	- DED`T : /096(?REMIUM:   	$  <	   	15
	    	21)   	HAVE  YOU  HAD  ANY  CLAIM(S)  AND /OR  INCIDENTS  WH,ICH  WILL  GIVE  RISE
		   	TO  A  CLAIM  IN  THE  PAST  THREE  (3)   	YEARS  ?    	,/O	  	(   	IF  YES,
		   	DESCRIBE  AND  INCLUDE  ANY  CHANGES  TO  PREVENT  FUTURE  CLAIM(S))
	    	22),  PLEASE  ATTACH  LIST  OF  ANY  ADDITIONAL  INSUREDS  TO  BE  ADDED  TO  YOUR
		   	INSURANCE  POLICY.   	(IE.  NAME,  ADDRESS,   	PH.,  DATES,   	&  RELATIONSHIP)
		    	(  SUBJECT  TO  AN  ADDITIONAL  PREMIUM  CHARGE.   	)
	   	NOTE:  THIS  POLICY  SPECIFICALLY  EXCLUDES  ANY  CLAIM(S)  ARISING  FROM  ANY
				BODILY  INJURY  AND /OR  PROPERTY  DAMAGE  FROM  ANY  ANIMAL(S),  AND  /
				OR  REPTILE(S)  NOT  SPECIFICALLLY  SCHEDULED.  LIABILITY  COVERAGE
				AFFORDED  WILL  NOT  BE  AFFORDED  FOR  ANY  COMMERCIAL  ACTIVITES.
	   	23)   	REMARKS:
	   	ANY  PERSON  WHO  KNOWINGLY  AND  WITH  INTENT  TO  INJURE,   	DEFRAUD,   	OR
	   	DECEIVE  ANY  INSURER  FILES  A  STATEMENT  OF  CLAIM  OR  AN  APPLICATION
	   	CONTAINING  ANY  FALSE,   	INCOMPLETE  OR  MISLEADING  INFORMATION  IS  GUILTY     	•
	   	OF  A  FELONY  OF  THE  THIRD  DEGREE.
		  	* * * **  NOTE:   	POLICY  IS  35%  MINIMUM  EARNED  AT  INCEPTION.   	* * * **
	   	I  UNDERSTAND  AND  AGREE  THAT  ANY  MISSTATEMENT  OF  WARRANTY  OF  FACT  ON
	   	THIS  APPLICATION  SHALL  BE  CONSIDERED  A  VIOLATION  OF  COVERAGE  AFFORDED
																				 	•
	   	UNDER  ANY  POLICY  ISSUED  ON  THE  BASIS  OF  THIS  APPLICATION.   	(  THIS
	   	APPLICATION  WILL  BECOME  PART  OF  ANY  POLICY  ISSUED   	'S  A  RESULT  OF  ITS
	   	SUBMISSION.)
						S  I  G  N  E  D												    	•
								 	A  N  D     	D  A  T  E  D '    	.Y:
		   	AZAO							    	-/
												     	It		   	,    	.
	   	DATE									     	ST'N'  jUR   	N1'    	NSUR  1
			    	T  H  A  N  K     	Y  O  U     	F  O  R     	T  H  E     	BUS   	' ,    	E  S  S
	   	PAGE  2  OF  4						PS4 /B			     	5/96			IEOA
			    	I  N  D  I  V  I  D  U  A  L     	(  E  X  O  T  I  C  )     	A  N  I  M  A  L
							O  W  N  E  R  S     	L  I  A  B  I  L  I  T  Y
				   	A  P  P  L  I  C  A  T  I  O  N     	S  U  P  P  L  E  M  E  N  T
	   	AGENCY:   	LESTER  KALMANSON  AGENCY  INC.   	/  MAITLAND,   	FL.     	USA
	  	AGENCY	    	LESTER  KALMANSON  AGENCY,   	INC.;   	MAITLAND,   	FLORIDA
	  	ISSUED  BY:    	100%  CNA  REINSURANCE  COMPANY  LIMITED   	(UK)
	  	IN  CONSIDERATION  OF  THE  PREMIUM  CHARGED  AT   	INCEPTION,   	IT  IS  HEREBY
	  	AGREED  AND  UNDERSTOOD  THAT  THE  FOLLOWING  WORDING  IS  HEREBY  MADE  PART
	  	OF  THIS  POLICY:
	    	IT  IS  WARRANTED  BY  THE  NAMED  INSURED,   	AND  AS  A  CONDITION  PRECEDENT
	    	TO  LIABILITY  COVERAGE  AFFORDED  HEREIN  OR  HEREUNDER  THAT  ALL  ANIMALS/
	    	SPECIE(S)   	OWNED  BY,   	LEASED  AND  /  OR  RENTED  TO  AND  /  OR  IN  THE  CARE,
	    	CUSTODY  AND  /  OR  CONTROL  OF  THE  NAMED  INSURED  SHALL  BE  ATTACHED
	    	TO  A  LEASH  /CHAIN  WITH  AN  EXPERIENCED  ANIMAL  TRAINER  /   	HANDLER  AND
	    	/  OR  UNDER  THE  DIRECT  SUPERVISION  OF  THE  THE  NAME   	INSURED  AND  /  OR
	    	IT'S    	EXPERIENCED  EMPLOYEE(S)   	)   	AND  /  OR  CONFINED  AND  /  OR  RETRAINED
	    	IN  SUCH  A  MANNER  THAT  THE  ANIMAL(S)   	/   	SPECIE(S)   	CANNOT  BE  OF  HARM
	    	TO  THE  GENERAL  PUBLIC  AND  /  OR  INVITEE(S)   	AND  /  OR  ANY  VOLUNTEERS.
		 	DESCRIPTION  OF  INSURED   	(   	EXOTIC  AND  /  OR  DOMESTIC   	)   	ANIMAL (S):.
	  	NOTE:   	(   	LIABILITY  COVERAGE  IS  AFFORDED  FOR  SCHEDULED   	(OWNED)   	(EXOTIC)
			  	ANIMAL(S)   	ONLY,   	UNLESS  OTHERWISE  ENDORSED  HERETO.   	)
			   	LIABILITY  COVERAGE  AFFORDED  WILL  NOT  INCLUDE  ANY  COMMERCIAL
			  	ACTIVITY(S)   	UNLESS  OTHERWISE  DECLARED  AND  A  SEPERATE  PREMIUM
			   	CHARGE  IS  MADE.
				   	A  C  C  E  P  T  E  D     	A  N  D     	S   	I  G  N  E  D     	BY:
	  	THE  NAMED  INSURED  UNDERSTANDS  AND  ACRE  .   	TO  THE  AB *..   	- iNDITIONS  OF
	  	THE  POLICY  AND  ACCEPTS  THE  RESTRICTION     	/LIM "``TIC  S  OF  THIS  POLICY
	 	AS  NITED   	/  ST4   	ED  ABOVE  BY  AFFIXING  MY    	sUR)   	SIGNA		 	FO  LOWS:
										   	X	 	I
	    	(NOTE:    	ALL  NAMED  INSUREDS  MUST  ACCEPT   	'ti,  SIN  THIS  ENDORSEMENT)
					     	E  N  D  O  R  S  E  M  E  N  T     	N  U  M  B  E  R
			ALL  OTHER  TERMS  AND  CONDITIONS  OF  THE  POLICY  REMAIN  UNCHANGED.
												X
	  	DATE   	ISSUED						     	AUTHORIZED  REPRESENTATIVE
														MITCHEL  KALMANSON
	  	PAGE   	4  OF  4				    	PS4 —P - --		     	8/98				 	IEOA
				     	Insurance   	Policy
					 	CERTIFICATE  OF INSURANCE
			PRODUCER:						 	DATE ISSUED: 06/30/2010
									   	COMPANY:
		 	LESTER KALMANSON AGENCY, INC.			  	100% CERTAIN UNDERWRITERS AT LLOYD'S /
		 	P.O. BOX 940008							LONDON
		 	MAITLAND, PL 32794-0008
		 	PH: (407) 645.5000					  	BINDERA CLCMB 9324
		 	FAX: (407) 645 -2810
			NAMED INSURED:
									    	EFFECTIVE DATE:			EXPIRATION DATE:
	     	RATARI SAFARI ANIMAL SANCTUARY, INC.		    	06/30/2010				12/30/2010
	     	2/0 AMY TUMA
	     	4393 JUNCTION HIGHWAY
	     	INGRAM, TX 78025						(BOTH DAYS AT 12: 01 A.M.  LOCAL STANDARD TIME)
							    	COVERAGE INFORMATION
			THIS IS TO CERTIFY THAT THE POLICY(S) OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED
			NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOT WITHSTANDING ANY REQUIREMENT, TERM(S) OR
			CONDITION(S) OF ANY CONTRACT OR OTHER DOGUMENf WITH RESPECT TO WHICH CERTIFICATE(S) MAY
			BE  ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICY(5) DESCRIBED HEREIN I5 SUBJECT TO
			ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.  LIMITS OF LIABILITY SHOWN MAY HAVE
			BEEN REDUCED BY ANY PAID CLAIMS.
			TYPE OF INSURANCE:				    	LIMITS:
	     	•
		  	GENERAL LIABILITY				   	GENERAL AGGREGATE:			$100,000.00
	     	,$  CLAIMS MADE					 	LIMITED  PRODUCTS AGGREGATE   	5
		  	OWNERS, LANDLORDS, & TENANTS		    	PERSONAL & ADV. INJURY:
									  	EACH OCCURRENCE:		  	SI00.000.00
			RETRO DATE: 06/30/2010				  	FIRE DAMAGE (ANY ONE FIRE)	 	5 -0-
		 	CERTIFICATE VALID ONLY WITH ATTACHED ADDENDUM "A" FOR DESCRIPTION OF LIABILITY COVERAGE(S)
		 	AFFORDED.
		 	INSURED LOCATION: 4393 JUNCTION HIGHWAY
					 	INGRAM, TEXAS  78025
			THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE
			CERTIFICATE HOLDER  THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE(S) AFFORDED
			BY THE POLICY(S) LISTED.
			SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE  HEREOF,
			THE ISSUING COMPANY WILL ENDEAVOR TO MAIL  00  DAYS WRITTEN NOTICE TO THE CERTIFIC.   	HOLDER
			NAMED BELOW, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION &iOR LI • : LITY OF ANY
			KIND UPON THE COMPANY. IT'S AGENTS &)OR REPRESENTATIVES &JOR KALMANSON  ET AL.
			CERTIFICATE HOLDER / PROOF OF INSURANCE		    	AUTHORIZED REPRESENT   	NE
			PROOF OF INSURANCE ONLY
										  	X
										   	MITCHEL KALMANSON		IDENT
																			   	I    	�
	     	/30/2010  12:57  FAX											   	a000
						  	CLAIMS	 	MADE
				 	C  ONE/RMATION     	OF     	INSURANCE
			AGENCY;    	LESTER  KALMANSON  AGENCY  INC.
					P.O.   	BOX  940008  MAITLAND,   	FL.    	32794-0008		U.S.A.
					PH)   	407-645-5000  -    	FAX)   	407-645-2810
			DATE:   	06/30/2010				    	BINDER  #:  GLOMS  9324
			IN  ACCORDANCE  WITH  YOUR  INSTRUCTIONS,  WE  HAVE  EFFECTED  THE  FOLLOWING
			INSURANCE  COVERAGE.  THE  PREMIUM  FOR  THIS  INSURANCE  IS  DUE  AND  PAYABLE
			AS  OF  THE  ATTACHMENT  DATE,  UNLESS  OTHERWISE  AGREED.
			NAMED  INSURED  /  MAILING  ADDRESS;  HATARI  SAFARI  ANIMAL  SANCTUARY,   	INC.
										C/0  AMY  TUMA
									 	4393  JUNCTION  HIGHWAY
									 	INGRAM,  TEXAS  78025
			(DESIGNATED)   	INSURED  LOCATION:  4393  JUNCTION  HIGHWAY
								    	INGRAM,  TEXAS  78025   	ONLY
	     	PERIOD  OF  INSURANCE:  FROM:  06/30/2010  TO:  12/30/2010  TERM:  SHORT  TERM
				(  BOTH  DAYS  FROM  12:01  AM  LOCAL  STANDARD  TIME     	)   	SIX  (6)  MONTHS
	     	DESCRIPTION  OF  INSURANCE:  SEE  ATTACHED  ADDENDUM  'A"  FOR  DETAILS
	     	POLICY  FORM:  OWNERS',  LANDLORDS',   	&  TENANTS'  LIABILITY  INSURANCE
						     	(  A  MANUSCRIPT  POLICY  FORM  1   	)
	     	LIMIT  OF  LIABILITY:  $100,000.00  PER  OCCURRENCE  /  $100,000.00  AGGREGATE
	     	PRIOR  ACTS  COVERAGE  AFFORDED:    	NONE
	     	RETRO  ACTIVE  DATE:    	06/30/2010    	DATE  OF  INCEPTION  0  12:01  AM  LOCAL
	     	STANDARD  TIME
	    	ERP  OFFERED   	(EXTENDED  REPORTING  PERIOD)!  YES
	    	DEDUCTIBLE:  $12,500.00	 	PER  CLAIM  (BODILY  INJURY/PROPERTY  DAMAGE)
							    	INCLUDING  L.A.E.
	    	PREMIUM:   	$3,121.08   	(INCL.   	FEES  &  TAXES)  (PREMIUM  IS  100%  FULLY  EARNED)
	    	CONDITIONS:  SUBJECT  TO  POLICY  ISSUANCE.
	    	ADDITIONAL  INSURED:  NONE  NOTED
	    	CARRIER:   	100%  CERTAIN  UNDERWRITERS  AT  LLOYDS  /  LONDON
	    	THIS  DOCUMENT  IS  INTENDED  AS  EVIDENCE  THAT  THE  INS  RANC   	DESCRIBED
	    	HEREUNDER  HAS  BEEN  EFFECTED  AS  STATED.   	IMMEDIATE  ADVIC:  MUST  BE  GIVEN
	    	OF  ANY  DISCREPANCIES,   	INACCURACIES  OR  NECESSARY  C  •
	    	DATE  ISSUED   	06/30/2010				 	MITCHEL  KAIESON  - PRES.
	   	PAGE  1  OF  3				 	P54-13	    	1/09			     	CM-C
						    	C   	L   	A   	I   	M   	S     	M   	A   	D   	E
						  	A  D  D  E  N  D  U  M    	"A"    	F  O  R  : :
						 	HATARI  SAFARI  ANIMAL  SANCTUARY,  INC.
							    	C/O  AMY  TUMA
	     	AGENCY:   	LESTER  KALMANSON  AGENCY  INC.
			   	P.O.  BOX  940008
			   	MAITLAND,  FLORIDA  —  U.S.A.
			   	PH:  907- 645 -5000   	FAX:  407- 645 - 2810
	     	POLICY  PERIOD  /  TERM:  06/30/2010  TO  12/30/2010   	TERM;  SHORT  TERM
						   	(12;01  AN  LOCAL  STANDARD  TIME)    	SIX  (6)  MONTHS
	     	POLICY  /  BINDER  NUMBER;  CLCMB  9324
	     	DESCRIPTION  OF  CLAIMS  MADE  LIABILITY  INSURANCE  COVERAGE(S)  AFFORDED:
	     	COMMERCIAL  EXOTIC  ANIMAL  OWNERS  LIABILITY  COVERAGE  T5  AFFORDED  FOR  VARIOUS  OWNED
	     	EXOTIC  ANIMAL(S)  WHILE  UNDER  THE  DIRECT  CONTROL  /  SUPERVISION  OF  THE  NAMED  INSURED
	     	ONLY,  WHILE  ON  THE  NAMED  INSURED'S  DESIGNATED  PREMISES  LOCATED  AT  4393  JUNCTION
	     	HIGHWAY,  INGRAM,  TEXAS  78025  ONLY.
		 	WARRANTED:
			1)  COMMERCIAL  EXOTIC  ANIMAL  OWNER'S  LIABILITY  COVERAGE  AFFORDED
		   	IS  LIMITED  TO  DIRECT  BODILY  INJURY  & /OR  PROPERTY  DAMAGE
		   	CAUSED  BY  THE  VARIOUS  OWNED  EXOTIC  ANIMAL(S)  ONLY.
			2)  PREMISES  LIABILITY  I5  SPECIFICALLY  EXCLUDED  FOR  THE
		   	NAMED  INSURED'S  DESIGNATED  PREMISES  UNLESS  OTHERWISE  ENDORSED
		   	HERETO  &  /  OR  HEREUNDER  AND  AN  ADDITIONAL  PREMIUM  IS  CHARGED.
			3)  NO  LEGAL  LIABILITY  COVERAGE  IS  AFFORDED  FOR  ANY  CARE,
		   	CUSTODY  & /OR  CONTROL  OF  ANY  NON —OWNED  EXOTIC  ANIMAL(S).
																			   	I    	i
	     	4)  ANIMAL  MORTALITY  COVERAGE  IS  SPECIFICALLY  EXCLUDED.
	     	5)  NO  PHYSICAL  DAMAGE  COVERAGE  IS  AFFORDED  UNLESS  SPECIFICALLY
		   	SCHEDULED  HERETO  AND  AN  ADDITIONAL  PREMIUM  IS  CHARGED.
	     	6)  OFF  PREMISES  LIABILLTY  IS  SPECIFICALLY  EXCLUDED  UNLESS
		   	OTHERWISE  ENDORSED  HEREIN  n  /  OR  HERETO  AND  A  SEPARATE  PREMIUM
		   	I5  CHARGED.
	     	7)  NAMED  INSURED  MUST  MAINTAIN  ALL  (APPLICABLE)  LOCAL,  COUNTY,
		   	STATE  & /OR  FEDERAL  LICENSE(S)  & /OR  PERMIT(S)  & /OR  REGISTRATION(S)
		   	NECESSARY  TO  OWN  & /OR  POSSESS  ANY  EXOTIC(S),  REPTILE(S)  ANIMAL(S)
		   	& /OR  WILDLIFE  TO  BE  INSURED  HEREIN  & /OR  HERETO.
	     	8)  NAMED  INSURED  MUST  MEET  & /OR  EXCEED  ANY  MINIMUM  STANDARDS  SET  FORTH
		  	BY  LOCAL,  COUNTY,  STATE  & /OR  FEDERAL  (REGULATORY)  ANIMAL  AGENCY(S).
	   	PAGE  2  OF  3 COMMERCIAL-- -P54 —B			   	1 -09			EXOTIC
	     	30/2010  12:57  FAX											   	U005
		  	BRIEF  EXPLANATION  OF  CLAIMS - MADE  LIABILITY  INSURANCE  POLICY  FORM
							   	PLEASE  READ  CAREFULLY
		 	THIS  FORM  IS  A  MANUSCRIPT  POLICY  FORM  AND  HAS  VARIOUS  POLICY  RESTRICTIONS.
	     	A)     	CLAIMS -MADE  LIABILITY  POLICY:  COVERS  BODILY  INJURY  & /OR  PROPERTY
				DAMAGE  WHICH  OCCURS  ON  OR  AFTER  THE  RETROACTIVE  DATE,  AND  FOR  WHICH  A
				CLAIM  IS  FIRST  MADE  DURING  THE  POLICY  PERIOD.  CLAIMS  UNDER  THIS  POLICY
				MUST  BE  SUBMITTED  BY  THE  INSURED  TO  THE  CARRIER  (C /O  LESTER  KALMANSON
				AGENCY)  DURING  THE  POLICY  PERIOD  (AS  OUTLINED  WITHIN  THE  LOSS  NOTIFICATION
				CLAUSE  WITHIN  THE  POLICY)  IN  ORDER  FOR  COVERAGE  TO  APPLY.
	     	B)     	RETRO - ACTIVE  DATE;  A  DATE  STATED  IN  THE  DECLARATION  OF  A  CLAIMS -
		     	MADE  LIABILITY  COVERAGE  FORM  WHICH  IS  NORMALLY  THE  SAME  DATE  AS  THE  DATE  OF
		     	THE  ISSUING  COMPANY'S  FIRST  CLAIMS -MADE  POLICY  FOR  THE  INSURED.   	NO  COVERAGE
				IS  PROVIDED  UNDER  THE  CLAIMS -MADE  FORM  FOR  BODILY  INJURY  & /OR  PROPERTY  DAMAGE
		     	THAT  OCCURS  PRIOR  TO  THE  RETROACTIVE  DATE.
																			   	I    	i
	     	C)     	PRIOR  ACTS:   	THIS  PROVISION  IN  A  CLAIMS -MADE  POLICY  EXCLUDES  COVERAGE  FOR  ANY
		     	CLAIMS  MADE  DURING  THE  POLICY  PERIOD  THAT  ARISE  FROM  AN  OCCURRENCE  PRIOR  TO
		     	THE  INCEPTION  OR  RETRO- ACTIVE  DATE  LISTED  ON  THE  POLICY.
	     	D)     	COVERAGE  TRIGGER:  TFIIS  CLAIMS -MADE  LIABILITY  FORM  APPLIES  ONLY  TO
		     	A  BODILY  INJURY  & /OR  PROPERTY  DAMAGE  FOR  SCHEDULED  OPERATIONS)  & /OR
		     	ACTIVITY(S)  ONLY  FOR  WHICH  THE  CLAIMS  4 /OR  INCIDENT  HAS  BEEN  RECEIVED  BY  THE
		     	UNDERWRITERS  (C /O  LESTER  KALMANSON  AGENCY)  DURING  THE  STATED  POLICY  PERIOD.
	     	E)     	EXTENDED  REPORTING  PERIOD  AKA:  TAIL  COVERAGE:  A  PERIOD  OF  TIME
		     	PROVIDED  HY  THE  CLAIMS -MADE  LIABILITY  INSURANCE  POLICY  DURING  WHICH  COVERAGE
		     	WILL  BE  PROVIDED  FOR  SCHEDULED  ACTIVITY(S)  & /OR  OPERATION(S)  ONLY.   	CLAIMS
		     	MADE  BEYOND  THE  EXPIRATION  DATE  OF  THE  POLICY  IF  THE  COVERAGE  FART  IS:
			     	1)  CANCELED  OR  NOT  RENEWED  OR
			     	2)  IF  THE  INSURER  RENEWS  OR  REPLACES  THE  COVERAGE  PART  WITH  INSURANCE
				   	THAT  HAS  A  RETROACTIVE  DATE  LATER  THAN  THE  DATE  SHOWN  IN  THE
				   	DECLARATIONS,  OR  WITH  AN  OCCURRENCE  FORM.
	    	NOTE(S):
		     	1)  THE  EXTENDED  REPORTING  PERIOD  WILL  BE  SUBJECT  TO  AN  ADDITIONAL
			  	PREMIUM  CHARGE.
		     	2)  THIS  ENDORSEMENT  ONLY  EXTENDS  THE  TIME  OF  REPORTING
			  	CLAIMS  WHICH  OCCURRED  DURING  THE  ORIGINAL  STATED  POLICY
			  	PERIOD.
				 	REFER  TO  POLICY  FOR  ACTUAL  PRICING,  TERMS  AND  CONDITIONS
			IF  YOU  HAVE  ANY  OTHER  QUESTIONS  FEEL  FREE  TO  CALL  THE  OFFICE.
	    	LESTER  KALMANSON  AGENCY,  INC.
	    	P.O.  BOX  940008
	   	MAITLAND,  FLORIDA  32794 -0008  U.S.A.
	    	PH:  407- 695 -5000  FAX:  407- 645 -2810
	   	WEBSITE:  www.lkalmanson.com
	   	PAGE  1  OF  1			 	MWD			 	PS4 -B		    	BRIEF --			     	1
																			•
																			•
																			•
																			•
																			•
						 	Paid   	Receipt			    	•
																			•
																			•			.•
																					1
																				 	i
							 	LESTER KALMANSON AGENCY, INC.
						   	P.O. BOX 940008 MAITLAND, FLORIDA 32794
							    	PH.407- 645 -5000 / FX.407- 645 -281 i
																		    	O
						     	CREDIT CARD AUTHORIZATION FORM				    	,
					   	//
			     	1)  DATE:  (P  /  / 9 /20 i 0							  	A		    	\
			     	2)  INSURED'S NAME & /OR COMPANY NAME:   	H A-T4 Y  , 1    	,S / '[ L		  	� 1�, ) \;
								/ }
			     	3)  ADDRESS:	     	'_')@    	ry /	 	+							,_  �/
				  	1		Lw'l     	/     	/(1 e'.5		PHONE: (  )     	-	     	'..		.  1  i )
															 	1/I   	N
			     	4)  C		OLDER(S) FULL NAME:   	i.�A.	    	.4  , AA_ h	    	I		 	•
			     	5) PHONEFI`  -- O (  )     	-'   	WORK: (  )
			     	6)  A) CARD NUMBER:				    	;3 5
				 	B) M/C	   	VISA	    	EXP.DATE:     	j	 	120
			     	7)  SECURITY CODE FROM BACK OF CARD:O
			     	8) AMOUNT CHARGED: $ 30.1 „ 0V
			     	9)  IF PAYING BY CREDIT CARD, A COPY OF CURRENT VALID
				  	DRIVERS LICENSE AND CREDIT CARD FRONT AND BACK
				  	MUST ACCOMPANY THIS FORM. COVERAGE CAN NOT AND
				  	WILL NOT BE ISSUED WITH OUT THIS.
			     	10)  FRAUD STATEMENT - ANY PERSON WHO KNOWINGLY PROV   	LESTER  KALMANSON  ROY
				  	FALSE INFORMATION IN AN APPLICATION FOR INSURANCE'	  	235 S. PaIILANO AVE,2B1
																	MOUND FL 32751
				  	THE INTENT TO DEFRAUD INSURANCE COMPANY OR ANOTE  TER 4NpL 1.3.:			04176881
				  	PERSON, OR WHO CONCEALS ANY INFORMATION CONCERN
				  	MATERIAL FACT FOR THE PURPOSE OF MISLEADING, COMN  ?ERCHAHT 1:	    	159000806524001
				  	F • • UDULENT A  T, WHI  H IS A CRIME.			     	DI SA
				     	A		     	t e  A						 	XXXXXXXXXXXX2353     	*
														    	SALE
			     	11) I,	   	'		  	A     	THE ABOVE LISTED CARDHOLDEI  DIM 000465     	1Hd:  1
				     	(Full  , me as Appears on Card)					    	DAZE: JUN 38, 19	 	TIIE;  19:19 :52
				  	HEREBY  . UTHORIZE    	TER KALMANSON AGENCY, INC. TO PROC  RUTH  N0:  0143091 1
				  	THE ABOVE CHARG    	r ' :  CANINE LIAB 1 ITY I     	' • NCE	    	AVS: 4393	     	78C25DE REST: 8
			     	12) THIS POLICY WIL    	i   	LLY EARNE I    	O REFUNDS.		  	TOTAL	    	53121.00
			     	13) SIGNATURE: a  s / /�,A	     	/
														    	R   	I 96REE TO En ABOVE TOTAL KURT
							   	1								ACCORDIRB 1D CARO ISSUER WEST 0	 	UNDS			 	OERCHANI MEOW IF CREDIT VOUCHER)
			     	PAGE 1 OF 1 - - -- CREDIT CARD AUTH FORM 1 CANINE- - - -07/  ** *MERCHANT  COPY * **
				     	Sworn    	Statement
																				 	i
		   	07/139/201a   	16:56     	0303671001			 	EOTH  INGRRAtMM				 	PAGE   	03
																				 	•
				 	Sworn Statement of Amy Tumta in Support of Application for Certificate of
						     	Resignation for Z711ngerous Wild Animals
			  	STATE OF  I'> XAS	  	§
							    	§
			  	COUNTY OP KERR		§
				   	Under penalties of perjury the undersigned certified:  that the information in the
			  	Proof of Ownership, Application for Insurance
										     	Insu    	ce Policy Documents, and Receipt
			  	provided herewith is true, complete and correc
														 	/4
				  	Sworn to and subscribed before me, the undersigned authority, on this 9th day of
			  	July, 2010, to certify which witness my hand and seal of office.
									     	Notary Public, State o 4 as
				 	.   	fR.  CA881E A HOFFMAN
				  	'  1    	Natty PuUk, State of Texas  <	    	Oa'	   	�f
				 	7  * ..    	myConittioa Expires86064014i					`1 (�						    	�
				   	.x .:.....:.......			...		  	S  77  TKJ7	 	i-�
									     	(Printed or Stamped Name of Notary)
																			     	i
																    	•
	  	RTICLE  I11:  CORPORATE PURPOSES
	  	Section  1.  Purposes.  The Corporation  is organized exclusively for the following
	  	purposes:
	  	(a) To fund an  animal sanctuary for exotic, or endangered animals,  rare  birds,
	  	and  other creatures who are unwanted,  rejected,  abused  or otherwise  neglected
	  	by rescuing, fostering and providing food,  medical  care and  safe shelter for such
	  	creatures until such creatures can be placed  into caring and  responsible  homes
	  	or live out their lives at the sanctuary or foster locations.  Life -long care  means
	  	that animals are not euthanized except when compassion for a suffering  animal
	  	demands that act,  and  no  reasonable alternative exists.
	  	(b)  To establish a place and  safe haven for dangerous wild animals who  have
	   	become injured  or who are taken out of the wild to serve as  pets and  later
	   	abandoned and  in need  of a safe place to live until  they can be  returned  to the
	  	wild or live out their lives at the sanctuary or foster locations.
	   	(c)  To educate the  public about the relations  between  humans and  non - humans,
	   	especially their financial and  non - financial  responsibilities and commitments to
	   	their exotic animals and  rare  birds.
	   	(d)  To work with local  game  professionals, and  organizations for endangered and
	   	exotic animals.
	   	(e)  To educate the public about the benefits of exotic and  endangered animals
	   	(f)  To educate the public on the benefits of  animal sancutaries and  ensuring the
	   	survival  of the endangered  and threatened  species.
	   	(g)  To work closely with existing  animal control organizations to assist  in the
	   	prevention of cruelty to stray, abandoned, or feral  creatures, exotic animals and
	   	rare  birds.
	   	(h)  To assist other humane organizations  in  providing foster care and  locating
	   	responsible  homes for adoptable animals and  birds.
	   	(i)  To educate the public about proper care and facilities for exotic and
	   	endangered  animals and  rare birds, and  provide assistance with ensuring  species
	    	survival.
	    	(k) To operate exclusively for charitable and educational  purposes,  and for the
	   	'SO� t�)(t) n f -tb of cruelty and  extintion  of animals, within the meaning of Section
				3  oe  internal Re venue Gode
											of-teed (or the corresponding  provrston  of
	   	any future  United States  internal  revenue  law).