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HomeMy WebLinkAbout951632Land Description Percent of Interest Percent of Overriding Royalty Similar Interests Additional space on page 2, if needed. Do not submit documents or agreements other than this form; such documents or agreements shall only be referenced herein. a Owned b Conveyed c Retained c Reserved e Previously reserved or conveyed f INSOFAR AS LEASE COVERS: TOWNSHIP 24 NORTH, RANGE 114 WEST, 6 P.M. 12.50% 12.50% -0- OF RECORD SECTION 11: Lots 3, 4, SW /4SE /4, W /2SW /4, SE /4SW /4 BELOW 5643' Containing 215.84 acres, more or less Lincoln County, Wyoming RECEIVED 1/15/2010 at 11:30 AM RECEIVING 951632 BOOK: 740 PAGE: 223 JEANNE WAGNER LINCOLN COUNTY CLERK, KEMMERER, WY Form 3000 -3a (May 2006) 2. This transfer (sublease) conveys the following; interest UNITED STATES DEPARTMENT OF THE INTERIOR BUREAU OF LAND MANAGEMENT TRANSFER OF OPERATING RIGHTS (SUBLEASE) IN A LEASE FOR OIL AND GAS OR GEOTHERMAL RESOURCES Mineral Leasing Act of 1920 (30 U.S.C. 181 et 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) PART A: TRANSFER I. Transferee (Sublessee)* Beartooth Oil Gas Company Street PO Box 2564 City, State, Zip Code Billings, MT 59103 -2564 l a. Transferor ConocoPhillips Company, as successor in interest to Phillips Petroleum Company *If more than one transferee, check here n and list the name(s) and address(es) of all additional transferees on page 2 of this form or on a separate attached sheet of paper. This transfer is for: (Check one) Fl Oil and Gas Lease, or n Geothermal Lease Interest conveyed: (Check one or both, as appropriate) Fl Operating Rights (sublease) n Overriding Royalty, payment out of production or other similar interests or payments FOR BLM USE ONLY DO NOT WRITE BELOW THIS LINE 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. El Transfer approved effective Type or print plainly in ink and sign in ink. By Bureau of Land Management (BLM) FORM APPROVED OMB NO. 1004 -0034 Expires: April 30, 2009 Lease Serial No. W- 0243909 -D C:.00223 (Title) (Date) (Continued on page 2) Part A (Continued): ADDITIONAL SPACE for Names and addresses of additional transferees in Item No. 1, if needed, or for Land Description in Item 2, if needed. O&224 PART B CERTIFICATION AND REQUEST FOR APPROVAL 1. The transferor certifies as owner if an interest in the above designated lease that he /she hereby transfers to the above assignee(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 associations of such 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 transfer 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 acres in oil and gas leases (of which up to 200,000 acres 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 oil and gas lease issued in accordance with the Mineral Leasing Act of 1920, or 51,200 acres in any one State if this is a geothermal lease; (d) All parties holding an interest in the transfer are otherwise in compliance with the regulations (43 CFR 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 (0 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 conditions of the 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 fumish and maintain such bond as may be required by the lessor pursuant to regulations 43 CFR 3104, 3134, or 3206. For geothermal transfers, 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 assignment is added to all previously created overriding royalties (43 CFR 3241). I certify that the statements made herein by me are true, complete, and correct to the best of my knowledge and belief and are made in good faith. 31 Executed this s d ay o December 2 009 Executed this 12th day of January 2010 Name of Transferor as shown on current lease C o n o c o P h i 1lips C o m p a n y (Please type or print) Transferor Transferee ignature) or or Attorney -in -fact (Signature) William W. Franklin, AIF 3300 North "A" Street, Building 6 -100 (Transferor's Address) Midland TX 79705 5490 (City) (State) (Zip Code) Beartoo 9 11 j.. s C.mpany, atu Attomey -in -fact (Signature) Laura L. Roberts, President 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. (Continued on page 3) (Form 3000 -3a, Page 2) State of TEXAS County of MTT)T.AND Before me, the undersigned, a Notary Public, in and for said County and State, on this day of 464 .44. 2009, personally appeared Will i am W. F r a nk l in known to me to be the Attorney—in—Fact of ConocoPhillips Company and who acknowledged to me that she/he duly executed the same as her/his free and voluntary act and deed on Behalf of said Corporation for the purposes therein set forth. IN WITNESS WHEREOF, I have hereunto set my hand and affixed my notarial seal the day and year last above written. State of Montana County of Yellowstone Before me, the undersigned, a Notary Public, in and for said County and State, on this 12th day of January ,,W to personally appeared Laura L Roberts known to me to be the President of Beartooth Oil Gas Company, and who acknowledged to me that she/he duly executed the same as her/his free and voluntary act and deed on Behalf of said Corporation for the purposes therein set forth. IN WITNESS WHEREOF, I have hereunto set my hand and affixed my notarial seal the day and year last above written. JEANNENE EULENFELD Notary Public, State of Texas My Commission Expires February 26, 2011 ACKNOWLEDGMENT otary Public Residing at Midland TX My Commission Expires: ACKNOWLEDGMENT ©00225. Notary Public Residing a t B 1 1 1 1 n g s, Montana My Commission Expires: May 1 2012