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Home My WebLink About894294Form 3000-3~ (October ! 992) UNITED 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. lB1 et seq.) '. Act for Acquired Lands of 1947 (30 U.S.C. 351-359) ~ ~ ]300~t:5~'{ Ct~ Geothermal Steam Act of 1970 (30 U.S.C. 1001-1025) Department of the Inlerior Appropriations Act, Fiscal Year 1981 (42 U.S.C. 6508) Type or print plainly in ink and sign in ink. PART A: TRANSFER Windsor Exploration, Inc. 475 17th Street,'Suite 600 8 9 ~ 2 9 [~t Denver, Colorado 80202 0076680-000 Emigrant Springs Prospect FORM APPROVED OMB NO. ! 004-0034 Expires: July 3 I, 1995 Lease Serial No. WYW-122223 REoEIV£D Transferee(Sub~essee)' LINCOLN COUNTY 0LERK Street City, State, ZIPCode 03 OCT lO ~}' 8:09 *If more than one transferee, check here [] and list the name(s) and address(es) of all additional transferees on the rey[~'et}fth}d f~rm~6t On~a s ar e Attached sheet of paper. :~,'~,l ~ L ~ ~ r.~ lyeP~ }~ This transfer is for: (Cheek One) [] Oil and Gas Lease, or [] Geothermal Lease Interest conveyed: (Check one or both, aa appropriate) [] Operating Rights (sublease) [] Overriding Royalty, payment OUt of p~'oduction or other similar interests or payments 2. ']'his transfer (sublease) conveys the following interest: Land Descriptk~n Percent of Interest Percent of Additioual space on reverse, if needed. Do not submit documents or agreements Owned Conveyed Retained Overriding Royalty Other than this form; such documents or agreements shall only be referenced, or Similar Interests Herein. Reserved Previously reserved or conveyed A 13 C D E F Township 23 Nodh, Range 112 West, fi"' P.M. 1.50% ORRI None Section 11: S/2, NE/4 Containing 480.00 acres, more or less Lincoln Counly, Wyoming }, FOR BLM USE ONLY - DO NOT WRITE BELOW THIS LINE 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. Transfer approved effective By (Authorized Officer) (Title) (Date) EOG Westporl Revised 7/31/03 Part A (Continued): ADDITIONAL SPACE for Names and addresses of additional transferees in Item No. 1, if needed, or for Land Description in Item No. 2, if needed. '75 PART B: CERTIFICATION AND REQUEST FOR APPROVAL The transferor certifies as owner of an interest in the above designated lease that he/she hereby transfers Io the above transferee(s) the rights specified above. Transferee certifies as follows:(a) Transferee isa 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 terrilory thereof. For the transfer of NPR-A leases, transferee 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) Transferee is not considered a minor under the laws of the State in which the lands covered by this assignment are located; (c) Transferee's chargeable interest, direct or indirect; in each Public domain and acquired lands separately in l.he 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 Acl 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 (43CFR 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) Transferee is not in violation of sec. 41 of the Mineral Leasing Acl. 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 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 Io the United States when this transfer is added lo all previously created overriding royalties (43 CFR 3241). I certify that thc statements made herein by mc arc true, complete, and correct to thc besl of my knowledge and belief and arc made in good faith. Executed this 24th day of ,July 20 03 Name of Transferor FOGR~lnc. Transferor or Agent and Attorney-in-Fact 500 1 7'n Street, ] Suite lfl00N Transferors Address) Denver Colorado 80202 (City) (State) (Zip Code) Executed this 24th day of July 20 03 Transferee Agent and AUorncy-in-fact 'Windsor Explora!i~n, Inc. Public reporting burden for this forn~ is estimated to average 30 minutes per response, including the time for reviewing instructions, gathering and maintaining data, and :ompleting and reviewing the form. Direct comments regarding the burden estimate or any other aspect of this form to U.S. Department of the Interior, Bureau of Land Management, (Alternate) Bureau Clearance Officer, (WO-771), 1849 C Street, N.W., Washington, D.C. 20240, and the Office of Management and Budget, Paperwork Reduction Project (1004-0034). Washington, D.C. 20503 l-itle 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, ar fraudulent statements or representations as to any matter within its jurisdiction. *U.S. GPO: 1992-774-017 / 67023 ACKNOWLEDGEMENT STATE OF COLORADO ) )§ COUNTY OF DENVER ) BEFORE ME, the undersigned, a Notary Public in and for said county and state, on this 24th day of July 2003, personally appeared J. Michael Schween, Agent and Attorney-in-Fact for EOG Resources, Inc., and that said instrument was signed on behalf of said corporation and said instrument to be the free act and deed of said corporation. IN WITNESS WHEREOF, I have hereto set my hand and affixed my notarial seal the day and year last above written. ion Expires: ~_~¢~ly 9, 2005 Denver, Colorado 80217 ACKNOWLEDGEMENT STATE OF COLORADO ) )§ COUNTY OF DENVER ) ..~ BEFORE ME, the undersigned, a Notary Public in and for said county and state, on this // day of ~--?'~.~..¢~ 2003, personally appeared for Windsor Exploration, Inc., and that said instrument was signed on beha f of sa d (;orporat on and said instrument to be the free act and deed of said corporation. IN WITNESS WHEREOF, I have hereto set my hand and affixed my notarial seal the day and year last above written. My Commission Expires: