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Form 3000-3a
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(January 1996L - C · 1 2
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(itJ~I':n::lIlJSTATESj E F;
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DEP~ifY.1.~ft1~OR,THIt~mtERIOR
BUREAU OF LAND MANAGEMENT
FORM APPROVED
OMB NO. 1004-0034
Expires: September 30, 1998
TRANSFER OF OPERATING RIGHTS (SUBLEASE) IN A
LEASE FOR OIL AND GAS OR GEOTHERMAL RESOURCES
lease Serial No.
Mineral leasing Act of 1920 (30 U.S.C. 181 at seq.)
Act for Acquired lands of 1947 (30 U.S.C. 351-359)
Geothermal-Steam Act of 1970 (30 U.S.C. 1001-1025)
. Department of the Interior Appropriations Act, Fiscal Year 1981 (42 U.S.C. 6508)
WYW-128194
1.
Transferee (Sublessee)*
Street
City, State, ZIP Code
Type or print plainly in ink and sign in ink.
PART A: TRANSFER
Intrepid Oil & Gas, L.L.C.
1801 Broadway, Suite 800
Denver, CO 80202
*If more than one transferee, check here 0 and list the name(s) and address(es) of all additional transferees on the reverse of this form or on a separate
attachedsheetofpape~
This transfer Is for: (Check One)
IZI Oil and Gas Lease, or
o Geothermal Lease
Interest conveyed: (Check one or both, as appropriate)
I8J Operating Rights (sublease) 0 Overriding Royalty, payment out of production or other similar
interests or payments
2. This transfer (sublease) conveys the following interest:
Land Description Percent of Interest Percent of
Ac:fclitional space on reverse, if needed. Do not submit documents or agreements CMlned Conveyed Retained Overriding Royalty
other than this form; such documents or agreements shall only be referenced or Similar Interests
herein. Reserved Previou51y
reserved
or conveyed
a b c d e f
See Exhibit "A" attached hereto and made a part hereof --
* * It is the intent of this assignment that The Wolf Haven Corporation
will deliver unto Intrepid Oil & Gas. 1.1.C. an 84.00% net revenue
interest in this lease, retaining an overriding royalty interest equal to
the difference between 16.00% and all presently existing and
outstanding lease burdens which shall include lessor's royalty and all
overriding royalties or similar interests burdening the leasehold.
Subject to the terms and conditions of that certain Farmout with Option
Agreement dated May 8, 1998, by and between Enron Oil & Gas
Company, as Farmor, and Tom Brown, Inc., as Farmee, and letter
Agreement dated April 20. 2001, by and between The Wolf Haven
Corporation and Intrepid Oil & Gas, L.L.C.
,
FOR BLM USE ONLY. DO NOT WRITE BELOW THIS LINE
THE UNITED STATES OF AMERICA
This transfer is approved solely for administrative purposes. Approval does not warrant that either party to this transfer holds legal or
equitable title to this lease.
o Transfer approved effective
By
(Authori<:ed Officer)
(Title)
(Date)
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OS73742
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Part A (Continued): ADDITIONAL SPACE for Names and addresses of additional transferees in Item No.1, if needed. or for Land Description in Item No.2, If
needed.
STATE OF WYOMING
SS.
COUNTY OF LARAMIE
On this 24th day of April, A.D. 2001, before me personally appeared MARC RANDAL STRAHN, President of The Wolf Haven
Corporation. to me personally known, who, being by me duly sworn, did say that he is the President of The Wolf Haven Corporation and
that the seal affixed to said instrument is the corporate seal of said corporation and that said instrument was signed and sealed on behalf
of said corporation by authority of its Board of Directors, and said President acknowledged said instrument to be the free act and deed of
said corporation.
Witness my hand and seal this 24th day of April, A.D. 2001.
~(j-'7 V77--{"rrl'o'{;) rr7l-l'A
Notary Public
Address: Cheyenne, Wyoming
STATE Of
WYOMING
..
~v eOUMt~~..~.;/!~:~.~~~,,)..~~003
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PART B: CERTIFICATION AND REQUEST FOR APPROVAL
1. Tha transferor certlfias as owner of an Interest In the above designated lease that he/she hereby transfers to the above transferee(s) the rights specified above.
2. Transferee certifies as fOllows:(a) Transferee is a citizen of the United States; an association of such citizens; a municipality; or a corporation organized
under the laws of the United States or of any State or territory thereof, For the transfer of NPR-A leases, transferee is a citizen, national, or resident alien
of the United States or association of suc:h citizens, nationals, resident aliens or private, public or municipal corporations, (b) Transferee is not considered
a minor under the laws of the State in which the lands covered by this assignment are located; (c) Transferee's chargeable interests, direct and indirect, in each
public domain and acquired lands separately in the same State, do not exceed 246,080 aaas in oil and gas leases ( of which up to 200,000 aaes may be
in oil and gas options), or 300,000 acres in leases in each leasing District in Alaska of which up to 200,000 acres may be in options, if this is an 011 and gas
lea5e i55ued in acrordance with the Mlnerall.easlng Act of 1920, or 01 ,200 acres in anyone State if this is a geothermallease;and (d) All parties holding
an Interest in the transfer are otherwise In compliance with the regulations (43CFR Group 3100 or 3200) and the authorizing Acts; (e) Transferee is in
compliance with reclamation requirements for all Federal oil and gas lease holdings as required by sec:. 17 (g) of the Mineral Leasing Act; and (f)
Transferee is not in violation of sec:. 41 of the Mineral Leasing Act.
3. Transferee's signature to this assignment constitutes acceptance of all applicable terms, conditions, stipulations and restrictions pertaining to the lease
described herein. Applicable terms and conditions include, but are not limited to, an obligation to conduct all operations on the leasehold in accordance
with the terms and condltlons ofthe lease, to condition all wells for proper abandonment, to restore the leased lands upon completion of any operations
as described in the lease, and to furnish and maintain such bond as may be required by the lessor pursuant to regulations 43 CFR 3104, 3134, or 3206.
For geothermal assignments, an overriding royalty may not be less than one.fourth (1/4) of one percent of the value of output, nor greater than 50 percent of the
rate of royalty due to the United States when this transfer Is added to all previously created overriding royalties (43 CFR 3241).
I certify that the statements made herein by me are tnJe, complete, and correct to the best of my knowledge and belief and are made in good faith.
Executed this 24th
day of April
,20 01
Executed this
day of
,20
01
Name of Transferor
Intrepid Oil & Gas, L.L.C.
Transferor
or
Attorney-in-fact
Transferee
or
Attorney-in-fact
P.O. Box 2480
Cheyenne, WY 8~q,Q:!
(City) ,
(Transferor's Address)
(State)
(Zip Code)
BURDEN HOURS STATEMENT
Public: reporting burden for this form is estimated to average 30 minutes per response, including the time for reviewing instructions, gathering and maintaining data, arxI
completing and revieWing the form. Direct comments regarding the burden estimate or any other aspect of this form to U.S. Department of the Interior, Bureau of Land
Management, (Alternate) Bureau Cle6li'ance Officer, (DW-11o), Denver Federal Center, Building 40, P. O. Box 25047, Denver, CO 80225-0047, and the Office of
Management 8n<j Budget, Paperwork Redudion Project (1004-0034). Washln9ton, D.C. 20503
Title 18 U.-S.C. Sec. 1001 makes It a crime for any person knowingly and willfully to make to any Department or agency of the United States any false, fictitious,
or fraudulent statements or representations as to any matter within its jurisdiction.
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ACKNOWLEDGEMENT
STATE OF COLORADO
)
CITY AND COUNTY OF DENVER)
On the 30th day of April, 2001, personally appeared before me Robert P. Jomayvaz III
who being by me duly sworn did say that he is the Attorney-in-Fact for Intrepid Oil & Gas, LLC,
and is authorized to execute this assignment. ..,
Witness my hand and official seal.
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No ary Public ,
Address: 1801 Broadway, Suite 800
Denver, CO 80202
My Commission Expires: 9/28/01
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