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HomeMy WebLinkAbout953400Form 3000 -3a (lune 1988) E UREP U D LAND 88 pa.; Al CHEYENNE. t 1 Transferee (Sublessee)* Street City, State, ZIP Code 2. This transfer (sublease) conveys the following interest: Containing 39.92 acres, more or less Lincoln County, Wyoming UNITED STATES DEPARTMENT OF THE INTERN,.°- BUREAU OF LAND MANAGEMENT "TRANSFER OF OPERATING RIGHTS (SUBLEASE) IN A 30 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) ING Type or print plainly in ink and sign In ink. PART A: TRANSFER NORTH AMERICAN RESOURCES COMPANY, INC. 16 E. Granite St. Butte, Montana 59701 *If more than one transferee, check here and list the name(s) and address(es) of all additional transferees on the reverse of this form or on a separate attached sheet of paper. This transfer is for: (Check one) Oil and Gas Lease, or Geothermal Lease Interest conveyed: (Check one or both, as appropriate) El Operating Rights (sublease) C] Overriding Royalty, payment out of production or other similar interests or payments Land Description Additional.spacc on reverse, if needed. Do not submit documents or agreements other than this form; such documents or agreements shall only be referenced herein. Township 26 North, Range 111 West, 6th P.M. Section 5: Lot 3 LIMITED IN DEPTH from the surface of the earth down to the stratigraphic equivalent of a depth of 9,440 feet, as encountered in the Hanson Federal 40 -6 well located in the NE4SE4 of Section 6, T26N- R111W, Lincoln County, Wyoming Percent of Interest Percent of '1) Owned Conveyed Retained Overriding Royalty or Similar Interests 2.126667% FOR BLM USE ONLY —DO NOT WRITE BELOW THIS LINE (1.726640 2.126667' -0- Lease Serial No. FORM APPROVED OMB NO. 1004 -0034 Expires: Augus; 31, 1989 W -79308 Reserved .1266679 of 5.0 .106333% Previously reserved or conveyed **3.0% RECEIVED 5/12/2010 at 10:32 AM RECEIVING 953400 BOOK: 747 PAGE: 76 JEANNE WAGNER LINCOLN COUNTY CLERK, KEMMERER, WY 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. By /Transfer approved effective JAN 0 1 1989 (Author�fficcr) Tear PART C: GENERAL 1. Transferor/Transferee(s) must complete Parts Al and A2 and Part B. All parties to transfer must sign as follows: The transferor(s) must manually sign. 3 original copies, and the transferee(s) must manually sign at least 1 of the 3 original cop- ies. File three (3) completed copies of this form in the proper BLM office for each transfer of operating rights (sublease). For a transfer of overriding royalty interest, payment out of production or other similar interest or payment, file one (1) manually signed copy of this form. The required filing fee (nonrefunda- ble) must accompany the transfer, payment out of production or other similar interests or payments. File transfer within ninety (90) days after date of execu- tion by transferor. 2. Separate form must be used for each lease being affected by this transfer and for each type of interest conveyed, 3. In Item No. 2 of Part A, describe lands affected (Sec 43 CFR 3106, 3135, or 3241). For columns b, c, d, and e, enter the interest expressed as a percentage of total interest in the lease; e.g., if transferor transfers one quarter of a 20% interest, enter 20% in column b, 5% in column c, and 15% in column d. SUPERVISORY LAND IAW MAMINER (Title) INSTRUCTIONS Tear DEC 2 1 1988 ORIGINAL ORG 4. If any payments out of production or similar interests, arrangements or payments have previously been created out of the interest being transferred, or if any such payments or interests are reserved under this transfer include a statement giving hill details as to amount. method of payment, and other pertinent terms as provided undcr 43 CFR 3106, 3135, or 3241. 5. The lease account must be in good standing before this transfer (sublease) can be approved (43 CFR 3106 and 3241.) 6, Transfer, if approved, takes effect on the first day of the month following date of filing in the proper BLM office. If a bond is necessary, it must be furnished prior to approval of the transfer. 7. Overriding royalty and payment out of production or other similar types of trans- fers must be filed with BLM, but will be accepted for record purposes only. No official approval will be given. 8. Upon approval of a transfer of operating rights (sublease), die sublessee is respon- sible for all lease obligations under the lease rights transferred to the sublessee. 076 CIEsTEFED o b tru nand compara ive copy the official records on file 21 J z r L N I L AGEMEN PAPERWORK REDUCTION ACT STATEMENT I. This information is being collected pursuant to the law This information will be used to create and maintain a record of oil and gas/ geothermal lease activity. 3. Response to this request is required to obtain benefit. NOTICE The Privacy Act of 1974 and the regulation in 43 CFR 2.48(d) provide that you be furnished the following information in connection with information required by this oil and gas /geothermal lease transfer application. AUTHORITY: 30 U.S.C. 181 et seq: 30 U.S.C. 1001 1025; 42 U.S.C. 6508 PRINCIPAL PURPOSE The information is to be used to process transfers of oper- ating rights (subleases) for oil and gas /geothermal resources leases. Tear Tear Pan A (Continued): GCIL III LIMITED PARTNERSHIP (.4000270) P.O. Box 2187 Loop Station Minneapolis, Minnesota 55402 Executed this 4t h day of O c t o b e r Name of Transfer Transferor D AT1'tST: AWidieSMAcfil Suzanne Kalut(6tgnwure)z, Secretary 7951 E. Maplewood Ave., Suite 133 (Transferor's, Address) Englewood. Colorado 30111 (State) (City) ENERGETICS OP RA� PvicertstiQ t 46e A 19 88 (Zip Code) ROUTINE USES: (I) The approval of transferee's rights to the land or resources. (2) Documentation for public information in support of notations made on land status records for the management. disposal, and use of public lands and resources. (3) Transfer to appropriate Federal agencies when concurrence is required prior to granting a right in public lands or resources. (4(15) Information from the record and /or the record will be transferred to appropri- ate Federal. State. local or foreign agencies, when relevant to civil. criminal or regula- tory investigations or prosecutions. EFFECT OF NOT PROVIDING INFORMATION —If all requested informa- tion is not provided, the transfer may not be approved. See regulations at 43 CFR Groups 3100 and 3200. Tear ADDITIONAL SPACE for Names and addresses of additional transferees in Item No. 1, if needed, or for Land Description to Item No 2 if needed. *The interest herein conveyed is subject to a right of reassignment reserved herein by Assignor in the amount of 25% of 2.126667% upon occurrence of "Basket Payout Basket Payout is described on Exhibit "A", attached hereto and by this reference made a part hereof. *The interest herein assigned is subject to the overriding royalty interests of record with the exception of that certain pre- existing overriding royalty interest of record to Eaglewood Finance Company, recorded in Book 195PR, Page 414, which Assignee shall bear no part of. This Assignment is subject to the terms and conditions of that certain "Assignment, Bill of Sale and Conveyance" executed by and between General Hydrocarbons, Inc. et al to Assignee herein dated December 18, 1986, effective December 1, 1986, as recorded in the above referenced county and state. Said Assignment does not constitute any additional conveyance or assignment of oil, gas and mineral leases, lands or interest therein described but is the same interest being conveyed by this Assignment. PART B CERTIFICATION AND REQUEST FOR APPROVAL 1_ The transferor certifies as owner of an interest in the above designated lease that he /she hereby transfers to the above transferee(s) the rights specified above. 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 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 (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 (f) Trans- feree is not in violation of sec. 41 of the Min -rat 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 furnish 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 ('a) of one percent of the value of output, nor greater than 50 percent of the rate of royalty due to the United Slates 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 knowledge and belief and are made in good faith. Executed this 1 s t ATTEST: day of November NORTH AMERICAN RESOURCES COMPANY, INC. a' son ,(Signatut"esident 19 AR Transferee U h r�� �z P,atricia GreerfSi naturbhsistant Secretary GCIL III Lj \P David E. Kelm, President, Dakel Co., Managing General Partner Patriria M, Eiko..5,._ A.soistant Secretary 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 it' 53 077 Well Esposito Federal 40 -20 Esposito Federal 40 -29 Esposito Federal 40 -32 Henson Federal 20 -1 Walstrom Federal 30 -1 federal 10 -9 Haun Federal 20 -5 Haun federal 40 -5 Heun Federal 20 -8 Haun federal 40 -8 ileun Federal 10 -9 Heun Federal 20 -9 Haun Federal 30 -9 Heun Federal 40 -9 Federal 40 -33 Federal ?0 -14 Federal 30 -33 Henson Federal 40 -6 Henson Federal 10 -5 Henson Federal 30 -5 Lansdale Federal 10 -8 EXHIBIT "A" Attached to anal made a part of that certain Assignment of Operating Rights dated Oc acx 4;19 8 from Energetics Operating Company to North American Resources Company, Inc. and GCIL III Limited Partne 'covering W- 79308, Section 5: Lot 3, T26N- R111W, Lincoln County, Wyoming. Basket Payout shall be deemed to have occurred as of 7:00 A.M. on the first day of the calendar month next following the month in which the Assignee has recovered in the aggregate from the proceeds of all pro- duction from the wells listed below ;herein collectively referred to Becket Payout wells), Mfter payment of proceeds attributable to the lease burdens, the amount equal to Assignee's share of all expenditures for drilling, testing, completing, equipping and developing (tangible and intangible) the Basket Payout .wells plus costs (including without limitation, Federal, state and local excise and severance taxes on the production, sale or removal of oil, gas or other minerals)of operating the Basket Payout wells to produce such an amount. Basket Payout Wells (Lincoln, Sweetwater L Sublette Counties, Wyoming) T ?BN, R111W: T28N, RI11W: T?8N, RIIIW: 177N, 11112W: T278, R1l7w: 1778, RIIIW: 126N, RIiIW: T ?6N, R111w: T?6N, 11111W: T ?6N, RIIIW: T ?6N, RII1W: T ?6H, RII1W: 1768, RIIIW: 1768, RIIIW: 1278, RII1W: T27N, R117W: 1278, HI11W: 126N, 81114: 1 R111W: T76N, RIIIW: 126N, R)11W: Location Sec. 70 SE /4 Sec. 29 SE /4 Sec. 3/ SC /4 Sec. 1 NC /4 Sec. 1 SW /4 Sec. 9 N4/4 Sec. 5 8L /4 Sec. 5 SE /4 Sec. 8 NE /4 Sec. 8 SC /4 Sec. 9 M4 /4 Sec. 9 8C /4 Sec. 9 SW /4 Sec. 9 SC /4 Sec. 3J SE /4 Sec. 14 NE /4 Sec. 33 SW /4 Sec. 6 SE /4 Sec. 5 NW /4 Sec. 5 SW /4 Sec. 8 NW /4 co rq C) cn W "f O r 7. 7 :RTIFIED it and comparaiive copy iricial records on file