HomeMy WebLinkAbout953385Form ?106 —'4
(Sep:e '..her 1982)
UNITED STATES
DEPARTMENT OF THE INTERIOR
BUREAU OF LAND MANAGEMENT
ASSIGNMENT, OR SUBLEY:ii"
OF OPERATING RIGHTS IN OIL AND GAS LE4.SE t. J:
PART 1
1. Assignee's Name
SEE ATTACHED EXHIBIT "A"
Address (include zrp coae)
SEE ATTACHED EXHIBIT "A"
3. Specify interest or percent of operating rights being conveyed to assignee
4. Specify interest or percent of operating rights being retained by assignor
Executed this /9
day of 14',4E: %LZ.4.t
ENERGETICS OPERATING COMPANY
BY: 1 j�
Signature)
seph C. Mencin, Agent and Attorney -in -Fact
FEB 1 1985
Assignment approved effective
Approval d not warrant that either party
to this trans,ier holds legal or equitab
title to this lease.
THE UNITED STATES OF AMERICA
CHIEF, LEASING SECTION
Haun Federal 20-5, WY -46/
'aun Federal 40-5
FORM APPROVED
OMB NO. 1004 -0034
Expires: August 31, 1985
I.,ease Serial No.
W -38503
r,I.ease effective date
March 1, 1983
The undersigned, as owner of 23.3675 percent of operating rights in the above designated oil and gas lease, hereby transfers, assig
and /or subleases to the assignee shown above, the operating rights in such lease as specified below.
2. Describe the lands affected by this transfer, assignment, and /or sublease (43 CFR 3101.2 -3 or 3101.1 -4)
Township 26 North, Range 111 West, 6th P.M.
Section 5: Lots 1, 2, S /2NE /4, SE/4
Containing 320.08 acres, more or less
Lincoln County, Wyoming
From the surface of the earth to the stratigraphic equivalent of 9,805 feet as encountered
in the Haun Federal 20 -5 Well, located in the SW /4NE /4 of Section 5, T26N- R111W, Lincoln
County, Wyoming.
This Assignment is made subject to that certain Agreement dated September 16, 1982
and as amended between Belco Petroleum Corporation and Energetics Operating Company.
This Assignment of Operating Rights conveys the same interests as
that certain Assignment which was recorded in Book 210PR, Page 754,
No. 612065, in Lincoln County, Wyoming.
8.3300
15.0375
NONE
5. Specify overriding royalty interest being reserved by assignor
6. Specify overriding royalty previously received or conveyed, if any
15.290375% of 8 /8th
7. 1f any payments out of production have previously been created out of this interest, or if any such payments are being reserved under this
transfer, assignment, or sublease, attach statement giving full details as to amount, method of payment, and other pertinent terms ss
provided under 43 CFR 3106.
It is agreed that the obligation to pay any overriding royalties or payments out of 'production of oil created herein, which, when added t;
overriding royalties or payments out of production previously created and to the royalty payable to the United States, aggregate in excess 01
17 1/2 percent, shall be suspended when the average production of oil per well per day avenged on the monthly basis is 15 barrels or less.
I CERTIFY That the statements made herein are true, complete, and correct to the best of my knowledge and belief and are made in good faith.
,19— but effective as of first sales from the
the Haun- Federal 20 -5 Well.
116 Inverness Drive East
(Assignor's Address)
Englewood, Colorado 80112
(City) (State) (Zip Code)
Title 18 U.S.C., Section 1001, makes it a crime for any person knowingly and willfully to make to any department or agency of the Unite:
States any false, fictitious, fraudulent statements or representations as to any matter within its jurisdiction.
(Authorised Officer)
ORIGINAL
RECEIVED 5/12/2010 at 10:20 AM
RECEIVING 953385
BOOK: 747 PAGE: 26
JEANNE WAGNER
LINCOLN COUNTY CLERK, KEMMERER, WY
ANDREW L. TARSH3S
APR 71966
(Date)
(Title)
NOTE Tta tr n.a. r r rr {•o.::.re p lei,aec ihs: copres are e>crr reprodurrror.s or. eec shell o/ both sloes o/ rhzs o /rcral /orm
ar. -r. i. 7 n..cr r.r: 3 CFR 37G17...
000026
AGAPE ENERGY, INC.
102 Inverness Terrace East
Englewood, Colorado 80112
Robert L. Mehl
102 Inverness Terrace East
Englewood, Colorado 80112
Jordan R. Smith
102 Inverness Terrace East
Englewood, Colorado 80112
EXHIBIT "A"
J !iii: 23 r -19 ')L)
Attached to and made a part of that certain Assignment
of Operating Rights, dated ici 1984, by
and between Energetics Operating Company, Assignor, and
Agape Energy, Inc., et al, Assignee.
3.7800%
3:2375%
1.3125%
THIS ASSIGNMENT is made expressly subject to the terms of that certain Encore
Development Drilling Program Participation Agreement, dated January 3, 1983,
by and between Energetics, Inc. and Patrick D. Maher.
THIS ASSIGNMENT is made expressly subject to the terms of that certain Encore
Development Drilling Program Participation Agreement, dated January 3, 1983,
by and between Energetics, Inc. and Robert L. Mehl.
THIS ASSIGNMENT is made expressly subject to the terms of that certain Encore
Development Drilling Program Participation Agreement, dated January 3, 1983,
by and between Energetics, Inc. and Jordan R. Smith.
000027
A. ASSIGNEE CERTIFIES THAT the assignee and all other parties in interest (as defined in 43 CFR 3100.0 5(b)) in this a:
signment are:
1. Citizens of the United States or qualified alien stockholders in a domestic corporation; association of the United State:
or any State or Territory thereof; or municipalities.
2. Of the age of majority in the State where the lands to be assigned ere located.
3. In compliance with the acreage limitation set forth in 43 CFR 3101.1 -5 and 3101.2 -4.
B. ASSIGNEE AGREES That, upon approval of this transfer of operating rights and /or operating agreement (sublease) t.t% =e
authorized officer of the Bureau of Land Management, he will be bound by the terms and conditions of the lease des:r :`e:
herein as to the interests covered by this assignment, including, but not limited to, the obligation to conduct all opera::; .s
on the leasehold in accordance with the terms and conditions of the lease. to condition all wells for proper abandon- e-:.::
restore the leased lands upon completion of any drilling operations as prescribed in the lease, and to furnish and ma
such bond as may be required by the lessor pursuant to the regulations (43 CFR 3104.2).
C. IT IS HERERF CERTIFIED That the statements made herein are true, complete, and correct to the best of undersig'+ed•s
knowledge and belief and are made in good faith.
3:muted this day of
AGAPE ENERGY, INC.
ASSIGNEE'S APPLICATION FOR APPROVAL OF TRANSFER
OF OPERATING RIGHTS ANDiOR OPERATING AGREEMENT 15UBLEASE)
(Assignee's Sigaseve)
Carl Re'.nert, President
ATi EST:
BY: .2 f,c.
.ick DAaTlyr, Secretary
7:Ue
43 Saet•on :001, makes It s crone for any person knowingly and willfully 10 mai. Is any depanment
Sines any to ..r, tictitir.us. erfraudulent statements or reprssent•tsens as to any matte, within its jurisdiction.
L USE OF FORM Use only for assignment of operating rights
(snclui ,g u tot sng rnrerests) in oil end gas I 1f transfer
of operating rights is •ccompansed by an operating agreement.
single copy •f such agreement most be submitted with the
assignment. If Mali that One transfer •f operating rights is
made out of a lease. separate instrument of transfer is
required for each assigrnment. A severing instrument of assign-
ment Shall be used for each levee mit of which an assignment
u Walk.
FIL1N; •140 NUMIER 01 COPIES FU. throe (3) contained
PART 11
INSTRUCTIONS
NOTICE
The Privacy Act of 1974 and the regulation in 43 CFR 2.43(4)
provide that you be furnished the following information so
connection with information requised by this •sipnme•t sad
request for appree•L
AUTHORITY: 30 U.S.C. •t. sm.
PRINCIPAL PURPOSE The tear -sties fa to be used to
process the •sstgnment and request for approval.
ROUTINE USES:
(1) The edtudicatian of the assignee's rights to the 1•a4 or
mouree•.
(2) Dor. for public information in support of nets.
Lions rade on land status records for the management,
disposal, and use of public lands end resources.
(3) Transfer to appropriate Feder.: agencies when concur.
fence is tequued prior to granting right ni public
lands or resources.
(4)(5) information from record and /or the record will be
transferred to appropriate Federal, State, local or
foreign agencies, when relevant to civil, criminal •e
regulatory investigations or prosecution.
EFFECT OF NOT PROVIDING lWFORMAT10N —If ■D the tar
formation is not provided, the assignment may be rejected.
!lie Paperwork Reduction Act of 1940 (44 V.S.C. 3501 et seq.) requires us to inform you that
bus into.— .arson is being collected pursuant to the law (43 CFR 3l06- 3(e)).
his int0raatson will be•used to creates record of tease assignment.
response to this request is required to obtain a benefit
102 Inverness Terrace East
(A•ignee's Address)
Englewood, Colorado 80112
(Cur) (state) (Zip Code)
Of agency
and manually signed copses m the approp'iae BLM office.
313.00 nonrefundable filing fee must accompany this •essgnr.er.t.
File assignment within ninety (00) day. we data of funs:
esecututa.
3. EFFECTIVE Dame 01 ASSIGNMENT The •.ssanment, if
approved. takes effect en the first day of the mooch following
the date of filing of all required papers. 11 en operator's bond
MA required, St won be furnished prior to approval of the
assignment
of the Unseal
s•o •)s•ss.
00k 042'8
A. ASSIGNEE CERTIFIES THAT the assignee and all other parties in interest (as defined in 43 CFR 3100.0 -5(b)) in this as-
signment are:
1. Citizens of the United States or qualified alien stockholders in a domestic corporation; association of the United States
or any State or Territory thereof; or municipalities.
2. Of the age of majority in the State where the lands to be assigned are located.
3. In compliance with the acreage limitation set forth in 43 CFR 3101.1 -5 and 3101.2 -4.
B. ASSIGNEE AGREES That, upon approval of this transfer of operating rights and /or operating agreement (sublease)
authorized officer of the Bureau of Land Management, he will be bound by the terms and conditions of the lease des ;l :•e
herein as to the interests covered by this assignment, including, but not limited to, the obligation to conduct all opera:;:
on the leasehold in accordance with the terms and conditions of the lease, to condition all wells for proper abandorme
restore the leased lands upon completion of any drilling operations as prescribed in the lease, and to furnish and ma :r..:4.-.
such bond as may be requited by the lessor pursuant to the regulations (43 CFR 3104.2).
C. IT IS HEREBY CERTIFIED That the statements made herein are true, complete, and correct to the best of undersigned's
knowledge and belief and are made in good faith.
Executed this
R0 RT L. N1EHL
day of .1'2
rile to U.S.C., Section 1001, makes it a trine for any person knowingly and willfully to nuke to any department er agency of the United
tates any false. fictitious. or fraudulent statements or representations as to any matter within its jurisdiction.
1. USE OF FORM Use only for •saignment of operating rights
including keeling tnirrests) in oil and gas 1 If transfer
of operating rights is accompanied by an operating agreement,
a single copy of such agreement stoat be submitted with the
assignment. If more than one transfer of operating rights is
made out of lease, separate instrument of transfer is
required for each assignment. A separate instrument of assign.
Sent shall be used for each le..• out of which an assignment
is made.
FILING AND NUMBER OF COPIES File three (3) completed
ASSIGNEE'S APPLICATION FOR APPROVAL OF TRANSFER
OF OPERATING RIGHTS ANDIOR OPERATING AGREEMENT (SUBLEASE)
(Asaignas''a Signature)
PART II
19 1
INSTRUCTIONS
102 Inverness Terrace East
(Assignee's Address)
Englewood, Colorado 80112
(City) (State)
NOTICE
The Privacy Act of 1974 and the regulation in 43 CFR 2.46(0)
provide that you be furnished the following information in
connection with information requited by this assignment and
request for approval.
AUTHORITY: 30 U.S.C. et. sea.
PRINCIPAL PURPOSE The information is to be used to
process the assignment and request for approval.
ROUTINE USES:
(1) The adjudication of the assignee's rights to the land or
resourees.
(2) Doc.nentation for public information in support of nota-
tions trade on land status records for the management,
disposal, and use of public lands and resources.
(3) Transfer to •;propriate Federal agencies when concur-
rence is required prior to granting a right to public
lands or resources.
(4)(S) Information from the record and /or the record will be
transferred to appropriate Federal, State, local or
foreign agencies, when relevant to civil, criminal or
regulatory investigations or prosecutions,
EF FECT OF NOT PROVIDING INFORMATION If all the to•
formation is not provided, the assignment may be rejected.
le Paperwork Reduction Act of 19110 (44 U.S.C. 3501 et seq.) requires us to inform you that:
information is being collected pursuant to the law (43 CFR 3106- 3(e)).
us 1rfer -anon will be used to create record of lease asaignmen.
rsponse to this request is required to obtsin benefit
and manually signed copies in the spprepriste ELM office. T.
525.00nonrefundable filing fee "mill accompany this •ssignr.,ec
File assignment within ninety (90) days Cif dots of rani:
e•SC
3. EFFECTIVE DATE OF ASSIGNMENT —The •siC+ment. if
•pproved, takes effect on the first day of the mosU, following;
the date of filing of ell required papers. if an operator's bond
is required. it must be furnished prior to approval •of the
•asignment.
(Zip Cede)
••o ass•aaa
A. ASSIGNEE CERTIFIES THAT the assignee and all other parties in interest (as defined in 43 CFR 3100 -5(b)) in this as-
signment are:
1. Citizens of the United States or qualified alien stockholders in a domestic corporation; association .of the United States.
or any State or Territory thereof; or municipalities.
2. Of the age of majority in the State where the lands to be assigned are located.
3. In compliance with the acreage limitation set forth in 43 CFR 3101.1 -5 and 3101.2 -4.
B. ASSIGNEE AGREES That, upon approval of this transfer of operating rights and /or operating agreement (sublease) bt
authorized officer of the Bureau of Land Management, he will be bound by the terms and conditions of the lease descr::
herein as to the interests covered by this assignment, including, but not limited to, the obligation to conduct all opera:; .s
on the leasehold in accordance with the terms and conditions of the lease, to condition all wells for proper abandon- e-:.::
restore the leased lands upon completion of any drilling operations as prescribed in the lease, and to furnish and
such bond as may be required by the lessor pursuant to the regulations (43 CFR 3104.2).
C. IT IS HEREBY CERTIFIED That the statements made herein are true, complete, and correct to the best of undersigre :'s
knowledge and belief and are -aratte"itt good faith.
Executed this
day of
-J.-
(Assignee' Signature)
JORDAN R. SMITH"'
'O F' OPERATING RIGHTS APPLICATION NDi OR OPERATING AGREE ENT (SUBLEASE/
/L /o %r.'28E
1. USE OF FORM Use only for assignment of operating rights
(rnclutitng aorling intrrests) in oi1 end gas 1 If transfer
of operating rights is accompanied by an operating agreement,
single copy of such •greement must be submitted with the
assignment. If more than one transfer of operating rights is
made out of lease. separate instrument of transfer is
required for 'rich assignment. A separate instrument of assign-
ment shall be used for each 1es•e out of which an assignment
is made.
FILING •ND NUHOER OF COPIES File three (3) completed
r 19 2
,'atle la U.S.C., Section 1001, makes it a trine for any person knowing!) and willfully to make to any department or agency of the Unned
Mates any false, fictitious, orfraudul,nt statements or represen•uons as tc any matter within its tuns:hot:on.
INST
NOTICE
The Privacy Act of 1974 and the regulation in 43 CFR 2.45(4)
provide that you be furnished the following information so
connection with information required by this assignment sod
request for approval.
AUTHORITY: 30 U.S.C. et, sq
PRINCIPAL PURPOSE The information is to be used to
process the assigtiruent and request for approval.
ROUTINE USES:
(I) The adjudication of the assignee's rights to the land er
resources.
(2) Doc_mentation for public information in support of note•
lions made on land status records for the management,
disposal, and use of public (ands and resources.
(3) Transfer to appropriate Federal agencies when concur-
rence is required prior to granting a right in public
lands or resources.
(4)(5) Information from the record and /or the record will be
transferred to appropriate Federal, State, local or
foreign agencies, when relevant to civil, Criminal or
regulatory investigations or prosecutions.
EFFECT OF NOT PROVIDING INFORMATION If all the in.
formation is not provided, the assignment may be rejected.
+e Paperwork Reduction Aet of 1980 (44 U.S.C. 3501 et seq.) requires us to inform you that:
+,s info .anon is being collected pursuant to the law (43 CFR 3106- 3(e)).
as infer -etion will be used to create record of Iease assignment.
rspanse to this request is required to obtain a benefit
102 Inverness Terrace East
(Assignee's Address)
Englewood, Colorado 80112
(City) (State) (Zip Code)
nd manually signed copies in the eppropret' BLM ofh,ce. A
825.00 nonrefundable filing fee eri.cr accompany this avail/rimer::
File assignment within ninety (90) days roar date of fu,u:
elocution-
3. EFFECTIVE DATE OF ASSIGNMENT The ••sigament, If
pproved, takes effect on the first day of the month following
the eats et filing of all required papers. 1f an operator's bond
is required, it must be furnished prior to approval of the
assignment
0•0 DSO •saa
G0
E:FI 'i 'e
lei bi 7rti -at d cprap ':f copy
f the 5fficial reb, file