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Home My WebLink About965914Land 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 Convey ed c Retained d Reserved e Previously reserved or conveyed f Township 26 North, Range 113 West, 6th P.M., Wyoming Section 3: Lots 8, 9, Ei /2 SE1 /4 Section 10: N1 /2 NE1 /4, E1/2 SW1 /4 Containing 320 Acres RECEIVED 8/3/2012 at 11:01 AM RECEIVING 965914 BOOK: 790 PAGE: 673 JEANNE WAGNER LINCOLN COUNTY CLERK, KEMMERER, WY See Exhibit "A" See Exhibit "A" of record FOR BLM USE ONLY DO NOT WRITE BELOW THIS LINE Form .1000 -3 (May 2006) 1. Assignee* Street City, State, Zip Code 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) 2. This assignment conveys the following interest: Bureau of Land Management (BLM) Type or print plainly in ink and sign in ink. la. Assignor See Exhibit "A" orpayments LJ Assignment approved for attached land description 00673 FORM APPROVED OMB NO. 1004 0034 Expires: April 30, 2009 Lease Serial No. WYE 07798D Lease Effective Date (Anniversary Date) New Serial No. PART i ty interest uate AS 3 2 orrects Assignment of Overriding Royalty merest ate en Recorded Book 780, Page 734 ENT 963063 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 of this foam or on a separate attached sheet ofpaper. This record title assignment is for: (Check one) LJ Oil and Gas Lease, or Geothermal Lease Interest conveyed (Check one or both as appropriate) Record Title, Is Oveniding Royalty, payment out ofproduction or other similar interests 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 title to this lease. El Assignment approved for above described lands; Assignment approved effective Assignment approved for land description indicated on reverse of this form (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 of the Mineral Leasing Act; and (1) Assignee is not in violation of sec. 41 of the Mineral Leasing Act 3. Assignee's 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. rV Executed this day of 20 Executed this ont lease Kearns Tribune Corporation Name of Assignor as shown on c �i�� JCZl/✓ (Si ®aturel JW GALLIVAN PRESIDENT 1257 Third Avenue Salt Lake City (City) (Continued on page 3) (Assignor's Address) UT 84103 (State) (Zip Code) day of 202- 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 its jurisdiction. (Form 3000 -3, page 2) TS Attached hereto and made part of Assignment of Overriding Royalty Interest in a Lease for Oil and Gas: Name Kearns Tribune Corporation to: Name Alpine King Inc. Ivers Oil Company LLC Kearns Campbell Investments Dated: May 012 EXHIBIT "A" Address Percent 1257 Third Avenue SLC UT 84103 .34999965 (63 111 E Linclon Road Ste 4 Spokane WA 99208 .1444443 (26 217 Cedar Street #286 Sandpoint ID 83864 .06111105 (11 Signed for Identification: Kearns Tribune Corporation By: WIL Gallivan President Percent .555555 00675 STATE of UTAH COUNTY of Salt Lake On the 2j4 �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\PUBLIC Residing in Salt Lake County STEPHANIE BROWN Notary Public State of Utah My Commission Expires August 30, 2011 575 East 4500 S Ste 8.260, Salt Lake City, UT 84111 _0676