Form 3000-3a Transfer of Operating Rights (Sublease) in a Lease for O

Form 3000-3a (March 2024)		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. 181 et seq.) Act for Acquired Lands of 1947 (30 U.S.C. 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)								FORM APPROVED OMB NO. 1004-0034 Expires: XX/XX/xxxx
										Lease Serial No.
										Legacy Lease Serial No.
										Lease Effective Date (Anniversary Date)
Type or print plainly in ink and sign in ink.
PART A: TRANSFER
1. Transferee (Sublessee)*					1a. Transferor
Street
City, State, Zip Code
*If more than one transferee, check here and list the name(s) and address(es) of all additional transferees on page 2 of this form or on a separate attached sheet of paper.
This transfer is for: (Check one) Oil and Gas Lease, or Geothermal Lease
Interest conveyed: (Check one or both, as appropriate) Operating Rights (sublease) Overriding Royalty, payment out of production or other similar interests or payments
2. This transfer (sublease) conveys the following interest:
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.				Owned				Conveyed	Retained
										Reserved	Previously reserved or conveyed
a				b				c	d	e	f
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
Bureau of Land Management (BLM)						(Title) (Date)

(Continued on page 2) (Form 3000-3a)

Part A (Continued) ADDITIONAL SPACE for Names and addresses of additional transferees in Item No. 1, if needed, or for Land Descriptions in Item 2, if needed.
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 to the above transferee(s) the rights specified above.
For all leases: The transferee will comply with the Departments of the Interior’s nonprocurement debarment and suspension regulations as required by 2 CFR 1400 subpart B and shall communicate the requirement to comply with these regulations to persons with whom it does business related to this lease by including this term in its contracts and transactions.
For leases issued under the Mineral Leasing Act (The Act) of 1920, as amended, the transferee must: (1) Be a citizen of the United States; an association (including partnerships and trusts) of such citizens; a municipality; or a corporation organized under the laws of the United States or of any State or Territory thereof; (2) Be in compliance with the acreage limitation requirements wherein the transferee’s interests, direct and indirect, in oil and gas leases in the State identified do not exceed 246,080 acres each in public domain or acquired lands including acreage covered by this lease, of which not more than 200,000 acres are under options. If the lease is in Alaska, the transferee’s holdings in each of the Alaska leasing districts do not exceed 300,000 acres, of which no more than 200,000 acres are under options in each district; (3) Be in compliance with Federal coal lease holdings as provided in sec. 2(a)2(A) of the Act (Title 30 U.S.C. Section 201(a)(2)(A)); (4) Be in compliance with reclamation requirements for all Federal oil and gas holdings as required by sec. 17 of the Act (Title 30 U.S.C. Section 226(g)); (5) Not be in violation of sec. 41 of the Act (Title 30 U.S.C. Section 195)); and (6) Be in compliance with 43 CFR parts 3000 and 3100 and the leasing authority cited herein.
For leases issued under the Geothermal Steam Act of 1970, as amended, the transferee must: (1) Be a citizen of the United States who is at least 18 years of age; an association of such citizens; a municipality; a corporation organized under the laws of the United States or of any State or Territory thereof; or a domestic governmental unit; and (2) Be in compliance with the acreage limitation requirements wherein the transferee’s interests, direct and indirect, do not exceed 51,200 acres, and (3) Be in compliance with 43 CFR part 3200 and the leasing authority cited herein.
For leases issued under the Department of the Interior Appropriations Act of 1981, the transferee must: (1) Be a citizen or national of the United States; an alien lawfully admitted for permanent residence; a private, public or municipal corporation organized under the laws of the United States or of any State or Territory thereof; an association of such citizens, nationals, resident aliens or private, public or municipal corporations; and (2) Be in compliance with 43 CFR part 3130 and the leasing authority cited herein.
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 transfers, 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 ___________ day of___________________ 20_________								Executed this ____________ day of ___________________ 20_________
Name of Transferor _____________________________________________________________________________________________
(Please type or print)
Transferor								Transferee
(Signature)								(Signature)
or (Title)								or (Title)
Attorney-in-fact								Attorney-in-fact
(Signature)								(Signature)
(Transferor’s Address)								(Type or Print Company President’s Name for Transferee)
(City)				(State)		(Zip Code)		(Type or Print Company Vice President’s Name for Transferee)
☐ See attachment for additional principals.
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.

(Continued on page 3) (Form 3000-3a, page 2)

PART C – GENERAL INSTRUCTIONS

1. Transferor/Transferee(s) must complete Parts A1 and A2 and Part B. All parties to transfer must sign as follows. The transferor(s) must manually sign 3 original copies and the transferee(s) must manually sign at least 1 of the 3 original copies. File three (3) completed copies of this form in the proper BLM office for each transfer of operating rights (sublease). For a transfer of overriding royalty interest, payment out of production or other similar interest or payment, file one (1) manually signed copy of this form. The required filing fee (nonrefundable) must accompany the transfer, payment out of production or other similar interests or payments. File transfer within ninety (90) days after date of execution of transferor.

2. Separate form must be used for each lease being affected by this transfer and for each type of interest conveyed.

3. In Item No. 2 of Part A, describe lands affected (See 43 CFR 3106, 3135 or 3241). For columns b, c, d, and e, enter the interest expressed as a percentage of total interest in the lease, e.g., if transferor transfers one quarter of a 20% interest, enter 20% in column b, 5% in column c, and 15% in column d.

4. If any payments out of production or similar interest, arrangements or payments have previously been created out of the interest being transferred, or if any such payments or interests are reserved under this transfer include a statement giving full details as to amount, method of payment, and other pertinent terms as provided under 43 CFR 3106, 3135, or 3241.

5. The lease account must be in good standing before this transfer can be approved as provided under 43 CFR 3106 and 3241

6. Transfer, if approved, takes effect on the first day of the month following the date of filing in the proper BLM office. If a bond is necessary it must be furnished prior to approval of the transfer.

7. Overriding royalty and payment out of production or other similar types of transfers must be filed with BLM, but will be accepted for record purpose only. No official approval will be given.

8. Upon approval of a transfer of operating rights (sublease), the sublessee is responsible for all lease obligations under the lease rights transferred to the sublessee.

9. See 2 CFR 180.995 for the definition of principals.

(Continued on page 4) (Form 3000-3a, page 3)

NOTICES

AUTHORITY: This information is solicited under the authority of 30 U.S.C. 181 et seq.; 30 U.S.C. 1001-1025; 42 U.S.C. 6508

PURPOSE: The primary purpose for collecting this information is to facilitate the timely processing of transfers of operating rights (subleases) for oil and gas/geothermal resources leases.

ROUTINE USES: This information may be disclosed to agencies, organizations or persons for authorized purposes as follows: (1) The approval of transferee’s rights to the land or resources. (2) Documentation for public information in support of notations made on land status, records for the management, disposal, and use of public lands and resources. (3) Transfer to appropriate Federal agencies when concurrence is required prior to granting a right in public lands or resources. (4) Information from the record and/or the record will be transferred to appropriate Federal, State, local or foreign agencies, when relevant to civil, criminal or regulatory investigations or prosecutions. Additional information on authorized routine uses may be found in the published system of records notice, BLM-3, Mineral Lease Management—Interior, which may be viewed at https://www.doi.gov/privacy/blm_notices

DISCLOSURE: Furnishing the information on this form is voluntary, however, failure to provide all or part of the requested information may result in the rejection of the transfer. See regulation at 43 CFR Groups 3100 and 3200.

The Paperwork Reduction Act of 1995 requires us to inform you that:

The BLM collects this information to create and maintain a record of oil and gas/geothermal lease activity.

Response to this request if required to obtain benefit.

The BLM would like you to know that you do not have to respond to this or any other Federal agency-sponsored information collection unless it displays a currently valid OMB control number.

BURDEN HOURS STATEMENT: Public reporting burden for this form is estimated to average 30 minutes per response including the time for reviewing instructions, gathering and maintaining data and completing 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 (1004-0034), Bureau Information Collection Clearance Officer (WO-630), 1849 C Street, N.W., Room 2134LM, Washington, D. C. 20240.

(Form 3000-3a, page 4)