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HomeMy WebLinkAbout953815l Form 3106 -14 (September 1982) 1. Assignee's Name GCIL III LIMITED PARTNERSHIP .ITED STATES DEPARTMENT OF THE INTERIOR BUREAU OF LAND MANAGEMENT TRANSFER, ASSIGNMENT, OR SUBLEASE, OF OPERATING RIGHTS IN OIL AND GAS L PART 1 Address (include zip code) c/o Dakel Co. P.O. Box 2187, Loop Station Minneapolis, Minnesota 55402 The undersigned, as owner of percent of operating rights in the above designated oil and gas lease, hereby transfers, assigns, •nd /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 31 TRACT I 15.683754% TRACT II 15.670768% TOWNSHIP 26 NORTH, RANGE 111 WEST, 6TH P.M. TRACT I Section 17: NW /4 TRACT II Section 17: E /2, SW /4 Containing 640 acres, more or less, in Lincoln County, Wyoming THE INTEREST HEREIN CONVEYED is the same interest conveyed by Assignment dated July 9, 1984, recorded at Book 217 PR, Page 342, covering the above described lands, from Energetics Operating Company to General Hydrocarbons 1982X Oil Gas Program, et al. THE OVERRIDING ROYALTY shown on Line 6 shall be borne and assumed by Assignee in the proportions shown on said Assignment dated July 9, 1984, above listed. This Assignment is made and shall in all respects be subject to those provisions on the attached RIDER. This Assignment is subject to the terms and conditions of that certain "Assignment, B111 of Sale and >yance" executed by and between General Hydrocarbons, Inc. et al to Assignee herein dated December 986, effective December 1, 1986, as recorded in the above referenced county and state. Said nment does not constitute any additional conveyance or assignment of oil, gas and mineral leases, or interest therein described but is the same interest being conveyed by C Assignment. TRACT II 3. Specify interest or percent of operating rights being conveyed to assignee 4 Specify interesi' or percent of operating rights being retained by assignor 5. Specify overriding royalty interest being reserved by assignor 6. Specify overriding royalty previously reserved or conveyed, if any 7. If 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 as provided under 43 CFR 3106. Cr O •ed that the obligation to pay any overriding royalties or payments out of production of oil created liefein, which, when added to royalties or payments out of production previously created and to the royalty payable to the United States, aggregate in excess of rcent, shall be suspended when the average production of oil per well per day averaged on the monthly basis is 15 barrels or less. Executed this 21 st day of September Enerp 'ttt Operating Company Assignor's Signature) Donald 3.,. Peterson, President 1 198 Assignment approved effective TU ii s 7951 E. Maplewood Avenue, Suite #133 (Assignor's Address) 1 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 8 7 u'anne. Ka lu��cz, Secretary (City) (State) (Zip Code) Title 18 U.S.: Section 1001, tnak,•3 it crime for any person knowingly and willfully to make to any department or ag ency of the United States any tune, fir, :P.13os, frauduiant statements or representations as to any matter within its Jurisdiction. THE UNITED STATES OF AMERICA r (Title) !*n: 'rlf r 1 PNt/ i /.W EYA.MiN F$ Lease Serial No. Lease effective date October 1, 1981 2.359771% 13.323983% NONE W-72845 8.751953% FORM APPROVED OMB NO. 1004 -0034 Expires: August 31, 1985 RECEIVED 6/4/2010 at 12:03 PM RECEIVING 953815 BOOK: 748 PAGE: 436 JEANNE WAGNER LINCOLN COUNTY CLERK, KEMMERER, WY 2.359771 13.310997% NONE 8.625000% By h/C4'11GLl ta?_�.,.�A• (Authorized Officer) MAY 2 0 '1988 NOTE: This /onn may he reproduced provided that copses are exact reproductions on one sheet of both sr.'es of this /idol /onn in -..cr.. once r.,,rh nr..,•r,..e. ...i To rco e:nc pw Tt b s �_l'w Tel comparativ(2' r. ui,'ii;ial records or) file f NA GEMENT ATTEST: Pat' 9. M Assistant Secretary, Dakel Co. USE FORM Use only for assignment of operating rights (tr. g working interests) in oil and gas leases. If transfer of Ling rights is accompanied by an operating agreement, a s.. copy of such agreement must be submitted with the assignment. If more than one transfer of operating rights is made out of a lease, a separate instrument of transfer is required for each assignment. A separate instrument of assign- ment shall be used for each lease out of which an assignment is made. FILING AND NUMBER OF COPIES File three (3) completed (3) PART II ASSIGNEE'S APPLICATION FOR APPROVAL OF TRANSFER OF OPERATING RIGHTS ANO /OR OPERATING AGREEMENT (SUBLEASE) ASSIGNEE CERTIFIES THAT the assignee and all other parties in interest (as defined in 43 CFR 3100.0 -S(b)) in this as- signment are: 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. Of the age of majority in the State where the lands to be assigned are located. In compliance with the acreage limitation set forth in 43 CFR 3101.1 -5 and 3101.2 -4. ASSIGNEE AGREES That, upon approval of this transfer of operating rights and /or operating agreement (sublease) by the authorized officer of the Bureau of Land Management, he will be bound by the terms and conditions of the lease described herein as to the interests covered by this assignment, including, but not limited to, the 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 drilling operations as prescribed in the lease, and to furnish and maintain such bond as may be required by the lessor pursuant to the regulations (43 CFR 3104.2). IT IS I =REBY CERTIFIED That the statements made herein are true, complete, and correct to the best of undersigned's kno 'ge and belief and are made in good faith. 1 4th March 1988 xE this 30Ln day of N ovember 198+ III LIMITED PARTNERSHIP INSTRUCTIONS NOTICE c/o Dakel Co. P.O. Box 2187, Loop Station David E. Kelm, (Assignees Signature) (Assignee's Address) President, Dakel Co., as Managing General Partner Minneapolis, Minnesota 55402 :le 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 United .tes any false, fictitious, or fraudulent statements or representations as to any matter within its jurisdiction. 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 assignment and request for approval. AUTHORITY: 30 U.S.C. et. seq. PRINCIPAL PURPOSE Tne 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 resources. (2) Documentation for public information in support of nota- tions made on land status records for the management, disposal, and use of public lands and resources. 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. he Paperwork Reduction Act of 1980 (44 U.S.C. 3501 et seq.) requires us to inform you that: his information Is being collected pursuant to the law (43 CFR 3108- 3(c)). his information will be used to create record of lease assignment. esponse to this request is required to obtain a benefit. (State) (Zip Code) and manually signed copies in the appropriate BLM office. A $25.00 nonrefundable filing feemust accompany this assignment. File assignment within ninety (90) days after date of final execution. 3. EFFECTIVE DATE OF ASSIGNMENT The assignment, if approved, takes effect on the first day of the month following the date of filing of all required papers. If an operator's bond is required, it must be furnished prior to approval of the, assignment. ,iPO eae•u�.' RIDER 1. Any and all reservations of overriding royalty interest and /or net profits interest, be they recorded or unrecorded as of the date of execution of this Assignment, the proportionate burdens of which shall be assumed and borne by ASSIGNEE; an overriding royalty due Energetics employees under certain royalty participation plans, including Energetics Royalty Corporation, which overriding royalty may or may not be of record as of the date of execution of this Assignment; and any and all other agreements which would affect the title to the leases described on Exhibit "A 2. This Assignment is subject to the Plan of Reorganization filed in the United States Bankruptcy Court, District of Colorado, Case No. 84 -B -5326 and 84 -B -5235, entered and approved by the Court and creditors effective June 28, 1985. '3 0 ''438 record3 on l(16 VD MAGETI,IFNT