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HomeMy WebLinkAbout924713 uv\J17? UCC FINANCING STATEMENT FOllOW INSTRUCTIONS (front and back) CAREFUllY A. NAME & PHONE OF CONTACT AT FilER [optional] Andrew S. Hartman, P.C. B. SEND ACKNOWLEDGMENT TO: (Name and Address) ~ Andrew S. Hartman, P.c. PO Box 700450 Tulsa, Oklahoma 74170 I RECEIVED 11/2212006 at 2:12 PM RECEIVING # 924713 BOOK: 641 PAGE: 177 JEANNE WAGNER LINCOLN COUNTY CLERK, KEMMERER, WY L -1 1. DEBTOR'S EXACT FUll lEGAl NAME -insertanlYQQII debtor name (1aar1 b)-danotobbreviotearcombinenames 1a. ORGANIZATION'S NAME Palace Ex loration Com an OR 1 b.INDIVIDUAL'SLASTNAME THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY 1d. SEE INSTRUCTIONS FIRST NAME MIDDLE NAME SUFFIX CIlY STATE POSTAL CODE COUNlRY Tulsa OK 74136 USA 1f. JURISDICTION OF ORGANIZATION 19. ORGANIZATIONALlD#, i!any Oklahoma OK1900367498 NONE 1c. MAILING ADDRESS oration 2. ADDITIONAL DEBTOR'S EXACT FUll lEGAL NAME - insert only QQII debtor name (20 or 2b) _ do not abbreviate or combine names 20. ORGANIZATION'S NAME OR 2b. INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE NAME SUFFIX 2c. MAILING ADDRESS CITY STATE rOSTAL CODE COUNTRY 2d. SEE INSTRUCTIONS T:DD'L INFO RE 12e. TYPE OF ORGANIZATION 2f. JURISDICTION OF ORGANIZATION 2g. ORGANIZATIONAL ID #. if any ORGANIZATION I I n NONE DEaTOR I 3, SECURED PARTY'S NAME (or NAME afTOTAL ASSIGNEE of ASSIGNOR SIP) .In..rtanIY2III.ecured party nome (3a ar3b) 3a. ORGANIZATION'S NAME OR Zenerl!V. Inc. 3b. INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE NAME SUFFIX 3c. MAILING ADDRESS CITY STATE rOSTAL CODE COUNlRY 6100 S Yale Avenue. Suite 1700 Tulsa OK 74136 USA 4. This FINANCING STATEMENT covers the following collateral: A security interest in all personal property, fixtures, equipment, minerals or the like, including oil and gas, and accounts and contract rights and other rights to payment and proceeds. The conveyance secures the obligations of debtor to creditor pursuant to terms of governing operating agreements between debtor and creditor and the debt obligations that arise out of and correspond to said operating agreements. 8. OPTIONAL FILER REFERENCE DATA Palace Exploration Company - Wyoming Intemational Association of Commercial Administrators (lACA) FILINO OFFICE COPY - UCC FINANCING STATEMENT (FORM UCC1) (REV. OS/22/02) U:1~¡,t ( A.U 000178 UCC FINANCING STATEMENT ADDENDUM FOLLOW INSTRUCTIONS Ifront and back) CARE FULL Y 9. NAME OF FIRST DEBTOR (1a or 1b) ON RELATED FINANCING STATEMENT ea. ORGANIZATION'S NAME OR Palace Exnloration Coml any eb. INDIVIDUAL'S LAST NAME FIRST NAME riDDLE NAME,SUFFIX 1 D. MISCELLANEOUS: THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY 11 ADDITIONAL DEBTOR'S EXACT FULL LEGAL NAME - insert only I!IlII name (118 or 11 b) - do not abbreviate or combine names 11a. ORGANIZATION'S NAME OR 11b.INDIVIDUAL'S LAST NAME FIRST NAME MIDOLE NAME SUFFIX 11c. MAILING ADDRESS CITY STATE /POSTALCODE COUNTRY 11d. SEE INSTRUCTIONS I :D'l INFO RE 111a. TYPE OF ORGANIZATION 111. JURISDICTION OF ORGANIZATION 11e. ORGANIZATIONAL 10 #, It any ORGANIZATION I nNONE DEBTOR I I 12. 1 ADDITIONAL SECURED PARTY'S II.[ LI ASSIGNOR SIP'S NAME - insert only I!IlII name (12a or 12b) 12a. ORGANIZATION'S NAME OR 12b. INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE NAME SUFFIX 12c. MAILING ADDRESS CITY STATE I POSTAL CODE COUNTRY 13. This FINANCING STATEMENT cover~..U timber to be cut or III as-extracted 16. Additional collateral description: collateral, or Is filed as a ø fixture filing. 14. Description of real estate: legal descriptions attached - one page 15. Nama and address of a RECORD OWNER of above-dascribed real estate (ff Debtor does not hllVlt a record Intents!): Palace Exploration Company 17. Check ImIx ff applicable and check ImIx one box. Debtor Is a n Trust or n Trustee actine with respeclto property held in lTust or n Decedenrs Estate 18. Check ImIx ff applicable and check ImIx one box. r- þa Debtor Is a TRANSMlmNG UTiliTY i- Flied In connection with a Manufactured-Home Transaction - effective 30 years Aled In connection with a Publlc-Flnanca Transaction - effective 30 years International Association of CommercIal Administrators (JACA) FILING OFFICE COPY - UCC FINANCING STATEMENT ADDENDUM (FORM UCC1Ad) (REV. OS/22/02) · '. ¡, "I!1"J.;!l ^? O::}~;"L~~' .~'-¡ ' 000179 Well Name County 5t 5ection(s)- Twp- Rng Waterfall Federal 1-35 Lincoln WY 35 22N 115W Waterfall Federal 26-2 Lincoln WY 26 22N 115W Waterfall Federal 26-2 ST Lincoln WY 26 22N 115W Waterfall Federal 26-3 Lincoln WY 26,27 22N 115W Waterfall Federal 35-2 Lincoln WY 27~ 22N 115W Bullseye Federal 6-4 Lincoln WY 6 22N 114W Lincoln WY 1 thru 36 20N 115W Lincoln WY 1 thru 36 20N 116W Lincoln WY 1 thru 36 21N 114W Lincoln WY 1 thru 36 21N 115W Lincoln WY 1 thru 36 22N 114W Lincoln WY 1 thru 36 22N 115W Lincoln WY 1 thru 36 23N 114W Lincoln WY 1 thru 36 23N 115W