The URL can be used to link to this page

Home My WebLink About9659122. Ibis assignment conveys me ruuuwIug w.ciw, Land 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 d R e previously reserved or conveyed f See Exhibit See Exhibit "A" of record Township 26 North, Range 113 West, 6th P.M., Wyoming Section 3: SW1 /4 SE1 /4 Section 10: W1/2 SW1 /4 Containing 120 Acres ;ECEIVED 8/3/2012 at 10:47 AM RECEIVING 965912 BOOK: 790 PAGE: 668 JEANNE WAGNER COLN COUNTY CLERK, KEMMERER, WY Cnn RI M I IRF ma Y DO NOT WRITE BELOW THIS LINE LIN Form 3000 :3 (May 2006) 1. Assignee* Street City, State, Zip Code UNITED STATES OF AMERICA This assignment is approved solely for administrative purposes. Approval does not warrant that either party to this assignment holds legal or equitable ID Assignment approved for attached land description title to this lease. J Assignment approved for above described lands; Assignment approved effective Assignment approved for land description indicated on reverse of this forni By (Continued on page 2) UNITED STATES DEPARTMENT OF THE INTERIOR BUREAU OF LAND MANAGEMENT ASSIGNMENT OF RECORD TITLE INTEREST 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.0 351 359) 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) Bureau of Land Management (BLM) Type or print plainly in ink and sign in ink. PAN interest T ASSIGNMENT Corrects Assignment of Overriding Royalty nterest ate a 2, Recorded Book 780, Page 730, ENT 963062 See "Exhibit "A" la. Assignor See Exhibit "A" *If more than one assignee, check here 0 and list the name(s) and address(es) of all addtional assignees on page 2 ofthis form or on a separate attached sheet ofpaper. This record title assignment is for: (Check one) M Oil and Gas Lease, or Geothermal Lease Interest conveyed: (Check one or both, as appropriate) Record Title, 0 Overriding Royalty, payment out ofpmduction or other similar interests or payments 0668 FORM APPROVED OMB NO. 1004 -0034 Expires: April 30, 2009 Lease Serial No. WYE- 07798C Lease Effective Date (Anniversary Date) New Serial No. (Title) (Date) Part A (Continued): ADDITIONAL SPACE for names and addresses of additional assignees in Item No.1, if needed, or for Land Description in Item No. 2, if needed. PART B CERTIFICATION AND REQUEST FOR APPROVAL 1. The Assignor certifies as owner if an interest in the above designated lease that he/she hereby assigns to the above assignee(s) the rights specified above. 2. Assignee certifies as follows: (a) Assignee 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 assignment of NPR A leases, assignee is a citizen, national, or resident alien of the United States or association of such citizens, nationals, resident aliens or private, public or municipal corporations, (b) Assignee is not considered a minor under the laws of the State in which the lands covered by this assignment are located; (c) Assignee'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 assignment are otherwise in compliance with the regulations (43 CFR Group 3100 or 3200) and the authorizing Acts; (e) Assignee 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) Assignee is not in violation of sec. 41 of the Mineral Leasing Act. 3. Assignees signature to this assignment constitutes acceptance of all applicable terms, conditions, stipulations and restrictions pertaining to the lease described herein. For geothermal assignments, 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. Executed this 2* -4 day of Name of Assignor as shown on current lease Kearns Tribune Corporation Assignor VERS OIL OMP■ LLC A 6. Af4g ://1 i J tl d 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 r fraudulent statements or representations as to any matter within its jurisdiction. 1257 Third Avenue Salt Lake City (Continued on page 3) 2 Sianaturel JW GALLIVAN., PRESIDENT (Assignor's Address) UT 84103 (City) (State) (Zip Code) Executed this ASSIGNEE'S day of y false, fictitious, or 20 (Form 3000 -3, page 2) Name Kearns Tribune Corporation to: Name Alpine King Inc. Ivers Oil Company LLC Kearns Campbell Investments Dated: May 12 EXHIBIT "A" Attached hereto and made part of Assignment of Overriding Royalty Interest in a Lease for Oil and Gas: 1.111111111 Address Percent 1257 Third Avenue SLC UT 84103 .69999993 (63 111 E Linclon Road Ste 4 Spokane WA 99208 .28888886 (26 217 Cedar Street #286 Sandpoint ID 83864 .12222221 (11 Signed for Identification: Kearns ibune j orporation B Percent Gallivan President 00670 STATE of UTAH COUNTY of Salt Lake On the ��;N day of May 2012, before me personally appeared JW Gallivan who being by me duly sworn, did say that he is the President of Kearns Tribune Corporation and that said instrument was signed in behalf of said Corporation, who duly acknowledged to me that they executed the same. My Commission expires: August 30 2015 NOTARY P 1! BLIC Residing in alt Lake County STEPHANIE ':ANN Notary P State of My Commission Expires Augur 575 East 4500 S Ste 13•260, Salt Lai w 4,111 00671