Blank Texas P 5 PDF Template
Form Example
RAILROAD COMMISSION OF TEXAS
Oil and Gas Division
READ INSTRUCTIONS ON BACK
ORGANIZATION |
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REPORT |
(Rev. 09/2011) |
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Purpose of Filing |
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New Filing |
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Annual Refiling |
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2. RRC Operator |
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Change of Officers/Resident Agent |
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Address Correction |
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No. (if assigned) |
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Name of entity: |
(If the name of the organization has changed, see Instructions on back) |
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Mailing Address: |
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Street Address: |
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3. ORGANIZATION |
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Organization Phone Number: |
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Emergency (after hours) Phone Number: |
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4. |
Plan of Organization |
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A. Corporation |
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B. Limited Partnership |
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C. Sole Proprietorship |
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D. Partnership |
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E. Trust |
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(select one) |
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F. Joint Venture |
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G. Estate |
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H. Ltd Liability Co. (LLC) |
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I. Other (specify): |
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Name of Texas Resident Agent: |
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5. TEXAS RESIDENT AGENT |
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Street Address |
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Mailing Address |
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A Texas Resident Agent is required for any foreign or nonresident organization pursuant to Statewide Rule 1(a)(4)(D). |
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6. |
Attachments: |
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Information for each controlling entity of the organization as required by Statewide Rule 1(a)(4)(C). |
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(optional) - Designation of |
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Filing Fee |
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Required for all "New Filing" and "Annual Refiling" submissions. See instructions on back. |
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Financial Assurance |
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If the operator is required to maintain financial assurance, the Organization Report will not be approved until it is in place. |
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7. |
Reorganization |
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Check here if this is a reorganization of an existing registrant. |
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If checked, provide the current name and RRC P5 Number: |
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8. |
Comments: (optional) |
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Organization reports for operators of inactive wells: The Commission may not approve the
Organization reports for operators with outstanding enforcement orders/judgments: The Commission may not approve the
If the organization has used, or reported use of, a well for which the Certificate of Compliance has been canceled, the Commission may refuse to approve an Organization Report until the operator has paid any requried reconnect fees and the Certificate of Compliance has been reissued for the well.
An organization must file an amended Organization Report within 15 days after a change in any information required to be reported in the Organization Report.
SignatureTitle
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Filer's Name (Printed) |
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Filer's Telephone Number |
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Email Address (OPTIONAL - SEE INSTRUCTIONS FOR IMPORTANT INFORMATION) |
Date |
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Certificate: I declare under penalties prescribed in Sec. 91.143, Texas Natural Resources Code, that I am authorized to make this report, that this report was prepared by me or under my supervision and direction, and that data and facts stated therein are true, correct, and complete, to the best of my knowledge.
FOR RRC USE ONLY
Approved by
Remarks
INSTRUCTIONS
Organization Report (Form
REFERENCES: Oil & Gas Statewide Rules 1 (Organization Report; Retention of Records; Notice Requirements), 14 (Plugging), 15 (Inactive Wells and Surface Equipment Requirements), and 78 (Fees, Performance Bonds and Alternate Forms of Financial Security Required To Be Filed); and Pipeline Safety Statewide Rule 58 (Organization Report). The Railroad Commission’s rules may be found on our website at http://www.rrc.state.tx.us/rules/rule.php.
WHO MUST FILE FORM
WHEN TO FILE FORM
•INITIAL FILING – Your initial Organization Report must be filed prior to beginning operations within the Commission’s jurisdiction.
•RENEWAL FILINGS – Your Organization Report must be refiled annually. The Commission will notify you before your refiling date by mailing you
•CHANGES - If any information provided on your organization report changes, you must submit a revised organization report within fifteen (15) days of the change, except as noted below:
ADDRESS CHANGES - If the only change is to the organization’s address or telephone number, then you may update that information by sending a signed letter to the
SPECIFIC ITEMS ON FORM
No. 1: Check the proper block to show the purpose of filing. More than one block may be checked.
No. 2: Your permanent RRC operator number is assigned after the initial filing of your
No. 3: “Name of Entity”: For new filings, enter the full name of your organization. If you are required to register with the Texas Secretary of State, your name shown in Box 3 on the Organization Report should exactly match your name as shown on your Secretary of State registration, including punctuation. (Due to space limitations, the Commission may abbreviate your name for entry into Commission systems.)
No. 4: Check the appropriate plan of organization on all filings. Select only one plan of organization.
No. 5: If you are a foreign or
No. 7: If you have reorganized and changed your organization name, check the box and provide the previous name and operator number.
SPECIAL INSTRUCTIONS FOR MASTER METERED SYSTEM OPERATORS: If the operation of one or more master metered systems is the only activity for which the Organization Report is being filed, then you should note that in Item No. 8 (Remarks), and observe the following requirements:
•The required filing fee for New Filings and Annual Renewals is $225.00.
•No financial assurance is required for master meter operators.
•The Organization Report must be filed in the name of the legal entity operating the master meter.
•The system manager(s) must be identified among the officers on Form
•A listing of all systems for which the filing entity is responsible must be attached to the Organization Report filing.
FILING FEE: Except as noted above, the filing fee for a New Filing (the initial Organization Report filed by an entity) is $300.00. The filing fee for an Annual Renewal of an entity’s Organization Report will be based on the activities in which the organization is engaged, and may be up to $1,350.00. See Rule 78. (There is no filing fee for an Organization Report filed solely to update officers, agents and/or addresses.)
FINANCIAL ASSURANCE: Most Commission regulated activities, including the operation of wells and pipelines, will require the operator to file and maintain some form of financial assurance (such as a bond, letter of credit, or cash deposit) in varying amounts. If the filing operator is required to maintain financial assurance, any renewal documentation for the financial assurance must be on file for the period covered by the
EMAIL ADDRESS: YOU ARE NOT REQUIRED TO PROVIDE AN EMAIL ADDRESS when completing and filing this form. Please be aware that information provided to any governmental body may be subject to disclosure pursuant to the Texas Public Information Act or other applicable federal or state legislation. IF YOU PROVIDE AN EMAIL ADDRESS, YOU AFFIRMATIVELY CONSENT TO THE RELEASE OF THAT EMAIL ADDRESS TO THIRD PARTIES. Other departments within the Railroad Commission also may use the email address you provide to communicate with you.
Mail to: Railroad Commission of Texas
P O Box 12967
Austin, Texas
RAILROAD COMMISSION OF TEXAS
Oil and Gas Division
ORGANIZATION REPORT |
FORM |
OFFICER LISTING |
(Rev. 09/2011) |
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(File as attachment to Form |
Page ____ of ____ |
1.Current operator name exactly as shown on
2.RRC Operator No. (if assigned)
PURSUANT TO Oil & Gas Statewide Rule 1(a)(4)(C), information must be provided "for each officer, director, general partner, owner of more than 25% ownership interest, or trustee (hereinafter controlling entity) of the organization."
Instructions:
Attach as many sheets as are needed to identify all required officers.
Full Legal Name: The entity's or individual's full legal name. Please do not use initials.
ID Number: If the filing organization is a Sole Proprietorship (i.e., an individual), you must provide the owner's social security number. Otherwise, you may
provide (at your choice) the officer's social security number, driver's license number, or Texas State Identification number. (Note: The Railroad Commission considers such ID numbers to be confidential information.)
Addresses: You must provide an address for each officer that is different from the address for the organization UNLESS: 1) you have shown a Texas Resident Agent on your Organization Report, and that agent has an address different from that of the organization; or 2) the organization is being operated out of the officer's home.
If an entity is identified as an officer on this form, you must also identify each officer of that entity.
3. OFFICERS
Full Legal Name: |
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Title: |
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Street Address: |
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Check here if operating out of this officer's home. |
Mailing Address (if different from Street Address) |
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Driver’s Lic. |
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State ID |
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Social Security No. |
State (if not SSN): |
Number: |
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Full Legal Name: |
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Title: |
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Street Address: |
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Check here if operating out of this officer's home. |
Mailing Address (if different from Street Address) |
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Driver’s Lic. |
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State ID |
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Social Security No. |
State (if not SSN): |
Number: |
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Full Legal Name: |
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Title: |
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Street Address: |
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Check here if operating out of this officer's home. |
Mailing Address (if different from Street Address) |
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Driver’s Lic. |
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State ID |
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Social Security No. |
State (if not SSN): |
Number: |
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Full Legal Name: |
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Title: |
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Street Address:
Check here if operating out of this officer's home. |
Mailing Address (if different from Street Address) |

Driver’s Lic.

State ID
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Social Security No. |
State (if not SSN): |
Number: |
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RAILROAD COMMISSION OF TEXAS
Oil and Gas Division
ORGANIZATION REPORT |
FORM |
(Rev. 09/2011) |
1.Current operator name exactly as shown on
2.RRC Operator No. (if assigned)
PURSUANT TO Oil & Gas Statewide Rule 1(a)(4)(E), the organization must provide the name of any
and not by a
Instructions:
DO NOT USE THIS FORM TO DESIGNATE A TEXAS RESIDENT AGENT. (Your Texas Resident Agent is identified on Form
THIS FORM MAY BE FILED AT ANY TIME. If a change in an organization's representation has occurred, a revised
IF ANY
3. DESIGNATED
EMAIL ADDRESS: YOU ARE NOT REQUIRED TO PROVIDE AN EMAIL ADDRESS when completing and filing this form. Please be aware that information provided to any governmental body may be subject to disclosure pursuant to the Texas Public Information Act or other applicable federal or state legislation. IF YOU PROVIDE AN EMAIL ADDRESS, YOU AFFIRMATIVELY CONSENT TO THE RELEASE OF THAT EMAIL ADDRESS TO THIRD PARTIES. Other departments within the Railroad Commission also may use the email address you provide to communicate with you.
Agent's Name:
Street Address: |
Mailing Address (if different from Street Address) |
Agent's Name:
Street Address: |
Mailing Address (if different from Street Address) |
Agent's Name:
Street Address: |
Mailing Address (if different from Street Address) |
Agent's Name:
Street Address: |
Mailing Address (if different from Street Address) |
Signature |
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Filer's Name (Printed) |
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Filer's Telephone Number |
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Email Address (OPTIONAL - SEE INSTRUCTIONS FOR IMPORTANT INFORMATION) |
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Date |
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Certificate: I declare under penalties prescribed in Sec. 91.143, Texas Natural Resources Code, that I am authorized to make this report, that this report was prepared by me or under my supervision and direction, and that data and facts stated therein are true, correct, and complete, to the best of my knowledge.
FOR RRC USE ONLY
Approved by
Remarks
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Common mistakes
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Incomplete Information: Many people forget to fill in all required fields. Each section of the Texas P-5 form needs to be completed accurately. Missing information can lead to delays or rejection of the application.
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Incorrect Name Matching: The name of the entity must match exactly with the registration at the Texas Secretary of State. If there are discrepancies, it can cause issues with the processing of the form.
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Improper Purpose Selection: When indicating the purpose of filing, individuals sometimes check more than one box. It’s essential to select only the appropriate purpose to avoid confusion and ensure the correct processing of the form.
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Failure to Update Changes: If there are any changes in the organization, such as a change in address or officers, the form must be updated within fifteen days. Neglecting to do so can result in penalties or complications with the organization’s standing.
Key takeaways
When filling out and using the Texas P-5 form, several important points should be kept in mind. Here are key takeaways to help guide the process:
- Purpose of Filing: Clearly indicate the purpose of your filing. This could be a new filing, annual refiling, or changes to your organization.
- Texas Resident Agent: If your organization is based outside Texas, you must designate a Texas resident agent. This agent acts as a point of contact within the state.
- Filing Fees: Be aware that there are fees associated with new filings and annual renewals. The fees can vary based on the activities of your organization.
- Timely Updates: If any information on your organization report changes, submit a revised report within 15 days. This includes changes to address, officers, or organization name.
- Attachments Required: Additional forms may be necessary, such as the P-5O for officer listings and P-5A for non-employee agents. Ensure these are completed and submitted as needed.
Understanding these key aspects can help streamline the filing process and ensure compliance with the Railroad Commission of Texas regulations.
Steps to Using Texas P 5
Completing the Texas P-5 form requires careful attention to detail. This form is essential for entities operating within the jurisdiction of the Railroad Commission of Texas, specifically in the oil and gas sector. Following the steps below will help ensure that the form is filled out correctly and submitted in a timely manner.
- Determine the purpose of your filing by checking the appropriate box in section 1. Options include New Filing, Annual Refiling, Change of Officers/Resident Agent, or Address Correction.
- If you have an assigned RRC operator number, include it in section 2. Next, enter the full name of your organization as it appears on your registration with the Texas Secretary of State.
- Provide the mailing address and street address of your organization in section 2. Ensure that these addresses are accurate and up-to-date.
- In section 3, include your organization’s phone number and an emergency contact number for after-hours situations.
- Select the appropriate plan of organization in section 4 by checking one of the options provided, such as Corporation, Limited Partnership, or Sole Proprietorship.
- For foreign or non-resident organizations, designate a Texas resident agent in section 5. Include their street address and mailing address, if different.
- Attach the required documents, such as P-5O for officer listings and P-5A for optional agent listings, if applicable. Ensure all necessary attachments are included.
- Check the box in section 7 if this filing is a reorganization of an existing registrant. Provide the current name and RRC P5 number if applicable.
- Optionally, add any comments in section 8 that may be relevant to your filing.
- Sign and date the form at the bottom. Include your printed name, title, and telephone number. An email address is optional.
After completing the form, review it thoroughly to ensure all information is correct. Once verified, submit the P-5 form along with any required fees to the Railroad Commission of Texas. Timely submission is crucial to avoid any potential delays in processing your filing.