HomeMy WebLinkAbout953397Form 3■E:
(December i velar
(formerly 3106-14)
1. Transferee (Sublessee)
Street
City, State
Zip Code
Additional Transferees
2. This transfer (sublease) conveys the following interest:
Township 26 North, Range 111 West, 6th P.M.
Section 5: Lots 1,2, S/2NE/4, SE/4
from the surface of the earth to the
stratigraphic equivalent of 9,805 feet as
encountered in the Haun Federal 20-5 well
Section 8: E/2
from the surface of the ground to the
stratigraphic equivalent of 9,747 feet as
found in the Haun Federal 20-8 well.
Lincoln County, Wyoming
RECEIVED 5/12/2010 at 10:31 AM
RECEIVING 953397
BOOK: 747 PAGE: 70
JEANNE WAGNER
.INCOLN COUNTY CLERK, KEMMERER,
FEB 1 1988
Transfer Approved Effective
r2 '3
(Authorized Officer)
D 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 (P.L. 96-514)
PART A: TRANSFER
GENERAL ATLANTIC ENERGY CORPORATION
410 17th Street, Suite 1400
Denver, Colorado
80202
This transfer is for: (Check one) EX Oil and Gas Lease, or 0 Geothermal Lease
Interest conveyed: (Check one or both, as appropriate) IX Operating Rights (sublease)
Land Description
Additional space on reverse, if needed. Do not submit documents other than this form;
such documents should only be referenced herein.
a
Type or print plainly in ink and sign In ink.
This Assignment is made witho
warranties of any nature, expre
subject to the terms and prov
assignment recorded or to be rec
the county clerk of the county
covered hereby are located, suc
wy being incorporated herein oy ref
FOR BLM USE ONLY
Owned
25.025
00iA4070
0 Overriding Royalty, payment out of production or other
similar interests or payments
Percent of Interest
Conveyed Retained
25.025
i.o be
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.
SUPERVISORY LAND LAW EXAMINER
(Title)
-0-
U AU
t rep esenta
s or implied
sions of a
rded in the
where the p
terms and p
rence.
FORM APPROVED
OMB NO. 1004-0034
Expires: August 31, 1989
Lease Serial No.
W-38503
CA)
F TIE
(Q
z 5z
rr
r ;•,:f.:"
Percent of
Overrid ng Royalty
or Similar Interests
Reserved Previously
reserved
or conveyed
e f
-0- 15.0000
rative copy
s on file
LAND M 1 1IAGEMENT
ions or
and is
separate
ffice of
operties
ovisions
JAN 2 9 19B
(Date)
ORIGINAr
Pan A iConunuedl: ADDITIONAL SPACE for Lind Description in Item No 2. if needed.
The transferor certifies as owner of an interest in the above designated lease that he.'she hereby transfer.. to the above transferee(s) the rights specified above.
2 Transferee certifies as follows: Ia) 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. nation. or resident alien of the l „ited States or associations
of such citizens. nationals, resident aliens or private. public or municipal corporations, (b) Transferee is not considered a ininor under the laws of the State in which
the !ands covered by this transfer are located: tc) Transferee's chargeable interests, direct and indirect. in either public domain or acquired lands. do not exceed 200,000
acres in oil and gas options or 246,080 in oil and gas.leases in the same State. or 300.000 acres in leases and 200,000 acres in options in each leasing District in Alaska,
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; and (di 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.
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 furnish and maintain
such bond as may be required by the lessor pursuant to regulations 43 CFR 3104, 3134, or 3206.
For oil and gas transfers. the obligation to pay overriding royalties. payment out of production, carried interests. net profit interests. or such similar payments or interests
created herein, which, when added to overriding royalties or payments out of production or other similar interests or payments previously created, may be suspended by
the Secretary at any time upon a determination that the excess constitutes a burden on lease operations in accordance with 43 CFR 3103.
For geothermal transfers, an overriding royalty may not be less than one -fourth 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 true, complete, and correct to the best of my kperwledg and belief and are made in good faith..
30th November 87 BIRD C� i EV�`LO NET 1982„, L.P.
Executed this day of 19 r k 1 t /1,--
Ref ert J nsc (fitignature) as Agent and
Attorney -in -Fact for the general partner
707 Westchester, 4th Floor A n y a the partnership
GENERAL ATLANTIC ENSO "'trr eORPORAL
Transferee
(City) (State) (Zip Code) (Signature)
Sam Winegrad V President. o'f and
Executed this 2nd
(Transferor's Address)
White Plains, NY 10604
PART B: CERTIFICATION AND REQUEST FOR APPROVAL
00.0"71.
re:a
December 87 rn
day of 19 Attorney -in -fact
Title 18 U.S.C. Sec. 1071 makes it a crime for any person knowingly and willfully to make to any Department or agenv
statements or representations 15 to any matter within •isdiction.
.ise United States any false, fictitious or fraudulent
987A a*' �4)t 7!S1818