Operator Name

Operator Address

City

State

Zip Code

Operator Telephone

Contact Person*

Contact Email Address*

Basin of Operations

Number of Operated Wells

Formation/Field Name

Formation Type (Lime, Sand ...)

Formation Depth

Formation Thickness (Net Pay)

Number of Productive Zones

Drive Mechanism

Produced Fluid (Oil/Gas)

Average EUR/Well

Spacing Unit Size (Acres)

Age of Wells

Original I.P.'s

Availability of Logs

Workover Rig Available?