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HomeMy WebLinkAboutOwnership Change DocumentationTER =NERGY PARTNERS June 22, 2016 VIA EMAIL ORIGINAL TO FOLLOW VIA U.S. MAIL Tamra Allen Acting Community Development Director Garfield County Administration 108 8th Street Glenwood Springs, CO 81601 TEP Rocky Mountain LLC 1058 County Road 215 Parachute, CO 81.635 RE: July 1, 2016 Name Change of H PX Energy Rocky Mountain LLC to Terra Energy Partners LLC Dear Ms. Allen, On July 1, 2016, WPX Energy Rocky Mountain LLC will officially change its name to Terra Energy Partners LLC. Terra is a limited liability corporation in good standing with the Colorado Secretary of State. Please see attached ('olorado Secretary ofState Certificate of Good Standing. In order to ensure a timely and efficient recognition of the July 1, 2016 name change, Terra provides the following information regarding such name change as it relates to county permits and registration, contacts, and company information: 1. WPXITerra have numerous land use, building, road or permits with the County. As of July 1, 2016, each of these permits should reflect Terra as the operator and/or holder of the permit. I WPX.'Terra request that the County update their contact information Cor Terra, on or before July 1, 2016 to include the following company information, permit contact personnel and emergency response contact personnel: Name Title Regulatory Email Phone/Office Cell Jeff Kirtland jkirtland@terraep.com 970-263-2736 970 -812 - Lead 7874 Kevin Safety kmcdermott@terraep.com 970-683-2294 970 -309 - McDermott Specialist 1195 3. With respect to Colorado Oil and Gas Conservation Commission Rule 302.c., Terra has attached the Form 1 on file with the COGCC, and please update the WPX/Terra 302.c. registration in the County records to reflect the name change. Please see attached Colorado Oil and Gas Conservalion C'onnni s•ion Form 1 & IA. Please let me know if you need any additional information in order to effectuate this name change on or before July 1, 2016. Thank you in advance for your attention to this letter. Sincerely, Jeffrey D. Kirtland Regulatory Lead Cc: Kirby Wynn, Oil and Gas Liaison Jean Alberico, County Clerk Enclosures OFFICE OF THE SECRETARY OF STATE OF THE STATE OF COLORADO CERTIFICATE OF FACT OF GOOD STANDING 1, Wayne W. Williams, as the Secretary of State of the State of Colorado, hereby certify that, according to the records of this office, TEP Rocky Mountain LLC is an entity formed or registered under the law of Delaware , has complied with all applicable requirements of this office, and is in good standing with this office. This entity has been assigned entity identification number 20011139600 . This certificate reflects facts established or disclosed by documents delivered to this office on paper through 06113x2016 that have been posted, and by documents delivered to this office electronically through 06/14/2016 ,i 16:36:44 . I have affixed hereto the Great Seal of the State of Colorado and duly generated, executed, and issued this official certificate at Denver, Colorado on 06."14.-'2016 & 16.36:44 in accordance with applicable law. This certificate is assigned Confirmation Number 9696850 14 rtrYYYr[ Irrrrr fir+ Secretary of State of the Slate of Colorado - *********************************************End of CertifiCate*********************#*****#####************ Notice. A cer7i reale issued electrorucallr franc the Colarndo Secreiar-i,o[Staie s IPeh silo is firlhr mrd inionediatelr ralid and a ective. However, as air option, fire isstrance and ralidn), of a certificate obtained electronically rna} be established by risiting the f'alydate a Certificate page of the Secreian, of State's Web site, hup- arsnr.sosstate co.trsrbr:,Cert fcateSearclrCriteria.do entering the certificate's confirmation number displayed an tire certificate. and follosving the insiructimis displayed ConCirining the issuance o rt erfi rcate is mere! , a tional and is not necessary to the valid and eJ%efive issuance- of a certificate. For more information. visit our Web site, hup-nrmr.sos state co.trs click Businesses, trademarks, trade mantes" and select " Fregnently Asked Questions. " State of Colorado Oil and Gas Conservation Commission QIL& 1120 Lincoln Street, Shite 801, Ilenver, Colorado 80203 (3031894-2100 Fax:13031894.2149 rows REGISTRATION FOR OIL AND GAS OPERATIONS Each company conducting oil -and -gas -related operations is required to submit a Forret 1. Submit a separate registration for each regionallfield office which will be an active reporter. A new registration is required to document change of address or additiont deletion of types of operations. ❑✓ Corporate Office ❑ New ✓❑ Change in Information ❑ Delete 0 ReglonaNField Office ❑ New Q Change in Inkmrnation ❑ Delete Cominrato Office Me 0= use CRY OGCC Operator Number (if you have one): 96950 Name of Company: TSP Rocky Mountain LLC Address: 1.058 CR 215 City: Parachute CO State: Zip: 81635 Country (if not U.S.): Phone No: (832) 589-9049 Fax No: Contact Name(s): April Mestas (PA) - Regulatory Manager 970.263.2711 Emergency Contact Name(s): BJ Reynolds - VP Operations Emergency Phone Number(&):832.589.9049 OGCC Operator Number Sulfur: 0 Office IName of Company: TEP Rocky Mountain LLC I 4828 Loop Central Drive Suite 900 Houston 7081 I Phone No: (832) 841-8511 Fax No: I Keith Brown - Cheif Operating Officer th Brown - Chei£ Operating Officer 281.936.4356 (0) 832.841.8511 (C) Print Name: Keith Brown CORPORATE OPERATIONS Write A to Add or D to Delete operations from your OGCC record. Indicate all that ag mhl. Operator Producer Gatherer Transporter Levy Payor Injection Well Oper. Pit Operator Driller Seismic Operator Financial Assurance Provider Downstream Gas Facility Insurance Agent Domestic Well Operator Vendor General Mailing Hearing notices are mailed monthly_ Please cap OGCC tar infomialkn. Signature: Tula: Date: Chief Operating Officer G FORM � A State of Colorado Rev t{?!04 Oil and Gas Conservation Commission 1120 Lincoln Street, Suite 801, Denver, Colorado 80203 (303)894-2100 Fax(303)894-2109 DESIGNATION OF AGENT Any party acting as an agent of an owner(s) of the lease or well shall have a valid Form 1A on file with the Commission. Individual access to online form submission will not be activated until this form is received, via mail or fax, at the address above. This designation shall remain In effect until written notice is provided by the owner to terminate the agent or representative. Approved persons to submit documents as employees of the company should be listed on FOR OGCC USE ONLY Agent Company Name: TEP Rocky Mountain LLC Address: City: State: Zip: iQ58 CR 215 Parachute CO 81635 A Principal Agent serves as the representative of the operator, to accept and be served with notices from the Oil and Gas Conservation Commission, or from other persons authorized under the Oil and Gas Conservation Act of the State of Colorado. Furthermore, the Principal Agent agrees to immediately report in writing, all changes of address of the agent, and any termination of the agent's authority, and in the latter case, the designation of a new agent or agents shall be immediately made. Name of Principal Agent: 5ignai f ri I Agent: Title of Principal Agent. Action: Jeffrey D Kirtland Email Regulatory Lead D Add Modify Phone: Fax: Email: I❑ 970-812-7874 Print Name jeffrey.kirtland@wpxenergy.com ❑ Delete The below listed individuals are designated as representatives, authorized to sign and submit forms on behalf of the operator April Mestas Regulatory Manager Action: Print Name Signature Title ❑ Add 970.263.2711 april.mestas§wpxenergy.com ❑ Modify Phone Email Forms Authorized to Submit (AU or Form #a) Q Delete Action : Print Name Signature Title ❑ Add ❑ Modify Phone email Forms Authorized to Submit (ALL or Form #s) ❑ Qelete Action: Print Name Signature Title ❑ Add ❑ Modify Phone Email Forms Authorized to Submit (ALL at Form it's) ❑ Delete Pursuant to the Rules and Regulations, and Rules of Practice and Procedure of the Oil and Gas Conservation Commission of the State of Colorado, the below -signed producer, operator, transporter, refiner, gasoline or other extraction plant operator, or initial purchaser who Is conducting oil and gas operations in the State of Colorado, does hereby designate the above -listed Agent Company and/or representative(s) as authorized to sign on behalf of the operator. Authorizing Company Name: OGCC Operator Number. Approval Date: TEP Rocky Mountain LLC 96880 06/15/2016 Print Authorizing Name: Authorizing Signature: Authorizing Title (must be an officer): Keith Brown 0 AR'a /-- I Chief Operating Officer