be fned he form 1073 a. rev. 2017 b.imaging.occeweb.com/og/well records/00542881.pdf · api no...

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Instructions must be fNed witf he Form 1073 OKLAHOMA CORPORATION COMMISSION Oil & Gas Conservation Division Post Office Box 52000 Oklahoma City, OK 73152-2000 A. Please type or prinfijsing black or blue ink. B. Form must be signed by former operator and new opera or C. Signatories be listed on their company's Form O. Fill in the complete legal description below. Ei,Pirect questions to Well Records (405) 521-2271 Transfer of Operator Single Oil or Gas Well OAC 165:10-1-15 API No 35-027-35279 OTC Prod Unit No. Surface Location Sec . 21 Twp 10N Rge 02W 35-027-028111 1/4 C 1/4 NE SE 1/4 1/4 Ft FSL of Qtr Sec 1,980 Ft FWL of Qtr Sec 1,980 County CLEVELAND Current Well Name/Number COMMUNITY FRANKLIN #A-5 Original Well Name/Number Unit Name (if applicable) FRANKLIN #A-5 Well Class: [MOIL DGAS DDRY Specify a well status: (see back page) ND 1:1 SP El AC El TA TM 5 14 c)* CURRENT OPERATOR The -OCC of the well. FEE: $25.00 OAC 165 5-3-1(b)(1)(N) Rev. 2017 (SEE BACK PAGE FOR PAYMENT INFORMATION) DO NOT WRITE INSIDE THIS BOX Titr , 14:35 Case: 000000000 R8Z Payor: EDINGER ENGI,- Check: 1005E .,4100 58 WEU TANSFER-OPER rm to transfer s",,, oil or gas wells only. Use Form to transfer Producing formation(s) OIL CREEK ective date of transfer of this well, for the purposes of Commission is the date that the transfer is approved by the Commission. OCC/OTC No. 08702 Name Address City Phone No. GRAND RESOURCES, INC 2448 EAST 81ST STREET, SUITE 4040 TULSA, State OK Zip (918) 392-4413 FAX No./E-mail 74137 [email protected] l verify that l am the legal operator of record with authority to transfer operatorship of this well, that the facts presented herein are true and correct, and that l have completed this form as required by the above instructions. (Signatory must be lis on company's Form 1006B Operators Agreement) Signature SCOTT ROBINOWITZ, VICE PRESIDENT Name & Title (Typed or Printed) Signed and sworn to fore me this clakiday of e c. , . el \lis . "H1;:p.:" 4 "" , .„ t AN , ' ' % oTAS , ' )-- '', t. e it% 1 , —, 1 /p.m. smarm\ S s kyitgAgIRil6h dxpires: .r.c i = I ve* / ~53_What l have exercised due diligence in attempting to locate the current operator of record according to OCC records, who hW.,:ft.Wned the listed well/lease and cannot be located to obtain signature. l have attached a certified copy of the recorded lease or assignment, or certified copies of a journal entry of judgment or bankruptcy proceeding pursuant to OAC 165:10-1-15(b). c9bli Notary Public 01/19/2021; #00020271 records, I OCC/OTC No. 18104 Signed and sworn to before me this My commission expires: day of Name EDINGER ENGINEERING, INC. Address 105 NORTH HUDSON AVENUE, SUITE 600 City OKLAHOMA CITY State OK Zip 73102-4817 Phone (405) 232-6315 No. FAX No./E-mail [email protected] Being the new operator, as of the effective date of transfer, l accept the facts presented as being true and correct and accept the operational responsibility for the well on the described property. (Signatory m - . • • - . . . ' 00 Operators Agreement) ... ( _ _::)---./' Signature STEVE RA , ; Y, PRESIDENT Name & Title (Typed or Printed) Signed a d sworn to before me this y day of aAi .2o r7. f( f44 MELODIE BEAR . 4 , . / , SEAL : Notary P . , v.i,,.._ 9 &A State of OklatifilitAY P bliC ClOy66hais#1090921860sExpires 09461/2017; #09007888 Signature FOR OCC USE ONLY Date Welt Records Review: MAY 09 Z 017 MAY 09 Z017 WELL RECORDS APPROVED Notarv Public By processing this Form 1073, the Oklahoma Corporation Commission has approved the contents thereof as to form only. The Oklahoma Corporation Commission does not warrant that the facts provided by the operator are true. Transfer is not effective until approved by the Nell Records Department.

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Page 1: be fNed he Form 1073 A. Rev. 2017 B.imaging.occeweb.com/OG/Well Records/00542881.pdf · API No 35-027-35279 OTC Prod Unit No. Surface Location Sec. 21 Twp 10N Rge 02W 35-027-028111

Instructions must be fNed witf he Form 1073OKLAHOMA CORPORATION COMMISSION

Oil & Gas Conservation Division

Post Office Box 52000

Oklahoma City, OK 73152-2000

A. Please type or prinfijsing black or blue ink.B. Form must be signed by former operator and new opera orC. Signatories be listed on their company's FormO. Fill in the complete legal description below.Ei,Pirect questions to Well Records (405) 521-2271

Transfer of OperatorSingle Oil or Gas Well

OAC 165:10-1-15

API No 35-027-35279 OTC ProdUnit No.

SurfaceLocation

Sec. 21 Twp 10N Rge 02W

35-027-028111

1/4 C 1/4 NE SE 1/4 1/4

Ft FSL ofQtr Sec

1,980 Ft FWL ofQtr Sec

1,980 County CLEVELAND

Current WellName/Number COMMUNITY FRANKLIN #A-5

Original WellName/NumberUnit Name(if applicable)

FRANKLIN #A-5

Well Class: [MOIL DGAS DDRYSpecify a well status: (see back page)ND 1:1 SP El AC El TA TM

514 c)*CURRENT OPERATOR

The

-OCCof the well.

FEE: $25.00OAC 165 5-3-1(b)(1)(N)

Rev. 2017

(SEE BACK PAGE FOR PAYMENT INFORMATION)

DO NOT WRITE INSIDE THIS BOX

Titr, 14:35Case: 000000000 R8ZPayor: EDINGER ENGI,-

Check: 1005E .,4100

58 WEU TANSFER-OPER

rm to transfer s",,, oil or gas wells only. Use Form to transfer

Producingformation(s)

OIL CREEK

ective date of transfer of this well, for the purposes of Commissionis the date that the transfer is approved by the Commission.

OCC/OTC No.08702

Name

Address

City

PhoneNo.

GRAND RESOURCES, INC

2448 EAST 81ST STREET, SUITE 4040

TULSA,State

OK Zip

(918) 392-4413FAX No./E-mail

74137

[email protected] verify that l am the legal operator of record with authority to transferoperatorship of this well, that the facts presented herein are true and correct,and that l have completed this form as required by the above instructions.

(Signatory must be lis on company's Form 1006B Operators Agreement)

SignatureSCOTT ROBINOWITZ, VICE PRESIDENT

Name & Title (Typed or Printed)

Signed and sworn to fore me

this clakiday of

e c., .el \lis."H1;:p.:"4"",.„t AN,' ' % oTAS, ' )-- '', t.e it% 1,—,

1 /p.m. smarm\ SskyitgAgIRil6h dxpires:

.r.ci =

I ve*/~53_What l have exercised due diligence in attempting to locate the current operator of record according to OCC records,who hW.,:ft.Wned the listed well/lease and cannot be located to obtain signature. l have attached a certified copy of the recorded leaseor assignment, or certified copies of a journal entry of judgment or bankruptcy proceeding pursuant to OAC 165:10-1-15(b).

c9bli

Notary Public01/19/2021; #00020271

records,

I OCC/OTC No.18104

Signed and sworn to before me this

My commission expires:

day of

Name EDINGER ENGINEERING, INC.

Address105 NORTH HUDSON AVENUE, SUITE 600

CityOKLAHOMA CITY

StateOK

Zip73102-4817

Phone(405) 232-6315No.

FAX No./[email protected]

Being the new operator, as of the effective date of transfer,l accept the facts presented as being true and correct and accept theoperational responsibility for the well on the described property.

(Signatory m - . • • - . . . ' • 00 Operators Agreement)...

( __::)---./'

SignatureSTEVE RA , ; Y, PRESIDENT

Name & Title (Typed or Printed)

Signed a d sworn to before me

this y day of

aAi .2o r7.

f(f44 MELODIE BEAR .4, . /, SEAL : Notary P . , v.i,,.._ 9 &A •

State of OklatifilitAY P bliCClOy66hais#1090921860sExpires 09461/2017; #09007888

Signature

FOR OCC USE ONLY

Date

Welt Records

Review:

MAY 09 Z 017 MAY 09 Z017

WELL RECORDSAPPROVED

Notarv Public

By processing this Form 1073, the Oklahoma CorporationCommission has approved the contents thereof as to form only. TheOklahoma Corporation Commission does not warrant that the facts

provided by the operator are true.

Transfer is not effective until approvedby the Nell Records Department.

Page 2: be fNed he Form 1073 A. Rev. 2017 B.imaging.occeweb.com/OG/Well Records/00542881.pdf · API No 35-027-35279 OTC Prod Unit No. Surface Location Sec. 21 Twp 10N Rge 02W 35-027-028111

Janie Hlinicky

From: Janie Hlinicky

Sent: Tuesday, May 09, 2017 1:21 PM

To: '[email protected]'; '[email protected]'

Subject: Well Transfers

To Whom It May Concern,

We have approved the transfer of the 20 wells listed below from Grand Resources Inc (8702) to Edinger Engineering Inc (18104).

3502700206 EDGAR HARRIS 3 29-10N-3W

3502700340 COMMUNITY FRANKLIN A 1 21-10N-2W

3502720145 WEST MOORE UNIT 5-1 28-10N-3W

3502735246 STATE TRACT 6 4 16-10N-2W

3502735247 STATE TRACT 6 2 16-10N-2W

3502735248 STATE TRACT 6 3 16-10N-2W

3502735270 COMMUNITY IRA D PEACHES 1 21-10N-2W

3502735273 COMMUNITY FRANKLIN A 4 21-10N-2W

3502735274 COMMUNITY FRANKLIN B 2 21-10N-2W

3502735277 COMMUNITY FRANKLIN B 6 21-10N-2W

3502735279 COMMUNITY FRANKLIN A 5 21-10N-2W

3502735445 W F TUBBS 2 29-10N-3W

3502735448 W F TUBBS 7 29-10N-3W

3502735449 FRANK L CARR 1 29-10N-3W

3502735450 W MOORE UNIT 4-2 29-10N-3W

3502735451 W MOORE UNIT 4-3 29-10N-3W

3502735455 W F TUBBS 6 29-10N-3W

3502735461 EDGAR HARRIS 4 29-10N-3W

3502735463 MULLINS 3 29-10N-3W

3502735470 ERNEST DIVIS 2 30-10N-3W

Images of the approved forms will be available online in the next few days.

Sincerely,

Janie Hlinicky

Oklahoma Corporation Commission

Well Records Section

Phone: 405.521.2271

Fax: 405.522.0854

i.hlinickyPoccemail.com

Oklahoma Corporation Commission

There are new forms for transfers. 1073 for single well, 1073MW for 10+ wells, 10731 for single injection well, 1073IMW for 10+ injection

wells. Fees for transfers went into effect August 25, 2016. The amounts of the fees are on the forms.

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