EIA-23S REMOVE: Annual Report of Domestic Oil and Gas Reserves (

U.S. DEPARTMENT OF ENERGY ENERGY INFORMATION ADMINISTRATION Washington DC 20585

OMB No. 1905-0057 Expiration Date: xx/xx/xxxx Version No.: xxxx.xx Burden: 8 hours

FORM EIA-23S ANNUAL REPORT OF DOMESTIC OIL AND GAS RESERVES

REPORT YEAR 201X COVER PAGE

This report is mandatory under the Federal Energy Administration Act of 1974 (Public Law 93-275). For the provisions concerning the confidentiality of information and sanction statements, see Section VII and VIII of the instructions.

Resubmission?

PART I. IDENTIFICATION

Complete and return by June XX, 201X to: Oil and Gas Surveys U.S. Department of Energy, EIA Ben Franklin Station P O Box 279 Washington DC 20044-0279 OR Fax to 202 586-1076 / Form EIA-23S Questions? Call 1-800-879-1470

EIA Operator ID Code Operator Name Street or PO Box City, State, Zip Code

Enter mailing address and EIA ID number, if not shown

0

0

0

0

1. Contact Information (person most knowledgeable about the reported data) Contact Person _____________________________________________ Phone Number ______________________________Ext ____________ Fax Number ______________________________________________ E-mail Address ________________________________________

Was your company an oil and gas field operator at any time during survey year 2016? (See B. Who Must Submit, page 2) (1) ¨ No Complete only items 3 -14 below and return this page (2) ¨ Yes Complete all of the form

3. Company Status, Name, and/or Address Change or Correction (Check appropriate box.)

¨ Name and address on mailing label are correct.

¨ Change company name, contact person, and/or mailing address as indicated below.

¨ Company was sold to or merged with company entered below.

¨ Company went out of business. Operations transferred to company entered below.

4. Note Change in Company Name, Address, and/or Contact Information

Company Name:

Street or P. O. Box:

City, State, Zip Code:

Contact Person (Please Print):

Phone Number Ext:

Fax:

Email Address:

Comments:

PART II. APPROVAL

5. Reviewed and approved by (Please Print)

6. Title

7. Signature

8. Date

Title 18 USC 1001 makes it a criminal offense for any person knowingly and willingly to make to any Agency or Department of the United States any false, fictitious, or fraudulent statements as to any matter within its jurisdiction.

OFFICIAL USE ONLY

201X

FORM EIA-23S ANNUAL REPORT OF DOMESTIC OIL AND GAS RESERVES REPORT YEAR 201X SUMMARY REPORT PAGE 1 OF 2 Report All Volumes of Crude Oil and Lease Condensate in Thousands of Barrels (MBbls) at 60°F

OMB No. 1905-0057 Expiration Date: xx/xx/xxxx Version No.: xxxx.xx Burden: 8 hours

1.0 OPERATOR Detailed DATA REPORT

Report All Volumes of Natural Gas in Millions of Cubic Feet (MMCF) at 14.73 psia and 60°F

1.1 OPERATOR EIA ID CODE

1.2 OPERATOR NAME

REPORT DATE

1.3 original

1.4 AMENDED

12

31

1x

2.0 production and reserves data

crude oil

natural gas

lease condensate

RESERVES

201x production

reserves

201x production

reserves

201x production

State or Geographic Subdivision

Proved Reserves December 31, 201X (MBbls) (A)

(From properties for which reserves were Estimated) (MBbls) (B)

(From properties for which reserves were Not Estimated) (MBbls) (C)

Proved Reserves December 31, 201X (MMCF) (D)

(From properties for which reserves were Estimated) (MMCF) (E)

(From properties for which reserves were Not Estimated (MMCF) (F)

Proved Reserves December 31, 201X (MBbls) (G)

(From properties for which reserves were Estimated) (MBbls) (H)

(From properties for which reserves were Not Estimated) (MBbls) (I)

alabama-onshore

al

alabama-state offshore

al05

alaska-north onshore and offshore

ak50

alaska-south onshore

ak10

alaska-south state offshore

ak05

ARIZONA

az

arkansas

ar

california-coastal region onshore

ca50

california-los angeles basin onshore

ca90

california-san joaquIn basin onshore

ca10

california-state offshore

ca05

colorado

co

florida-onshore

fl

florida-state offshore

fl05

illinois

il

indiana

in

kansas

ks

kentucky

ky

louisIana-north

la50

LOUISIANA-SOUTH ONSHORE

LA10

louisiana-STATE OFFshore

LA05

maryland

md

michigan

mi

mississippi-onshore

ms

mississippi-state offshore

ms05

missouri

mo

montana

mt

nebraska

ne

nevada

nv

new mexico-east

nm10

new mexico-west

nm50

new york

ny

NORTH DAKoTA

ND

OHIO

OH

OFFICIAL USE ONLY

201X

FORM EIA-23S ANNUAL REPORT OF DOMESTIC OIL AND GAS RESERVES REPORT YEAR 201X SUMMARY REPORT PAGE 2 OF 2 Report All Volumes of Crude Oil and Lease Condensate in Thousands of Barrels (MBbls) at 60°F

OMB No. 1905-0057 Expiration Date: xx/xx/xxxx Version No.: xxxx.xx Burden: 8 hours

1.0 OPERATOR Detailed DATA REPORT

Report All Volumes of Natural Gas in Millions of Cubic Feet (MMCF) at 14.73 psia and 60°F

1.1 OPERATOR EIA ID CODE

1.2 OPERATOR NAME

REPORT DATE

1.3 original

1.4 RESUBMISSION

12

31

1X

2.0 production and reserves data

crude oil

natural gas

lease condensate

RESERVES

201X production

reserves

201X production

reserves

201X production

State or Geographic Subdivision

Proved Reserves December 31, 201X (MBbls) (A)

(From properties for which reserves were Estimated) (MBbls) (B)

(From properties for which reserves were Not Estimated) (MBbls) (C)

Proved Reserves December 31, 201X (MMCF) (D)

(From properties for which reserves were Estimated) (MMCF) (E)

(From properties for which reserves were Not Estimated (MMCF) (F)

Proved Reserves December 31, 201X (MBbls) (G)

(From properties for which reserves were Estimated) (MBbls) (H)

(From properties for which reserves were Not Estimated) (MBbls) (I)

OKLAHOMA

OK

PENNSYLVANIA

PA

SOUTH DAKOTA

SD

TENNESSEE

tn

texas-rRC district 1

tx10

texas-rrc district 2 onshore

tx20

texas-rrc district 3 onshore

tx30

texas-rrc district 4 onshore

tx40

texas-rrc district 5

tx50

texas-rrc district 6

tx60

texas-rrc district 7b

tx70

texas-rrc district 7c

tx75

texas-rrc district 8

tx80

texas-rrc district 8a

tx85

texas-rrc district 9

tx90

texas-rrc district 10

tx95

texas-state offshore

tx05

utah

ut

virginia

va

west virginia

wv

wyoming

wy

federal offshore-gulf of mexico (alabama)

al00

federal offshore-gulf of mexico (florida)

fl00

federal offshore-gulf of mexico (louisiana)

la00

federal offshore-gulf of mexico (mississippi)

ms00

federal offshore-gulf of mexico (texas)

tx00

federal offshore-pacific (alaska)

ak00

federal offshore-pacific (california)

ca00

federal offshore-pacific (oregon)

or00

other state (specify)

U.S. totalS (sum each column)

us