0001123292-17-000523.txt : 20170228 0001123292-17-000523.hdr.sgml : 20170228 20170228154627 ACCESSION NUMBER: 0001123292-17-000523 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170201 FILED AS OF DATE: 20170228 DATE AS OF CHANGE: 20170228 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: DEEP WELL OIL & GAS INC CENTRAL INDEX KEY: 0000869495 STANDARD INDUSTRIAL CLASSIFICATION: CRUDE PETROLEUM & NATURAL GAS [1311] IRS NUMBER: 133087510 STATE OF INCORPORATION: NV FISCAL YEAR END: 0930 BUSINESS ADDRESS: STREET 1: SUITE 700 STREET 2: 10150 - 100 STREET CITY: EDMONTON STATE: A0 ZIP: T5J 0P6 BUSINESS PHONE: (780) 409-8144 MAIL ADDRESS: STREET 1: SUITE 700 STREET 2: 10150 - 100 STREET CITY: EDMONTON STATE: A0 ZIP: T5J 0P6 FORMER COMPANY: FORMER CONFORMED NAME: ALLIED DEVICES CORP DATE OF NAME CHANGE: 19930328 FORMER COMPANY: FORMER CONFORMED NAME: ILLUSTRIOUS MERGERS INC DATE OF NAME CHANGE: 19600201 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: PT Pertamina (Persero) CENTRAL INDEX KEY: 0001697525 STATE OF INCORPORATION: K8 FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 000-24012 FILM NUMBER: 17647341 BUSINESS ADDRESS: STREET 1: JALAN MEDAN MERDEKA TIMUR NO. 1A CITY: JAKARTA STATE: K8 ZIP: 10110 BUSINESS PHONE: 622138151111 MAIL ADDRESS: STREET 1: JALAN MEDAN MERDEKA TIMUR NO. 1A CITY: JAKARTA STATE: K8 ZIP: 10110 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: PT Pertamina Internasional Eksplorasi dan Produksi CENTRAL INDEX KEY: 0001697354 FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 000-24012 FILM NUMBER: 17647342 BUSINESS ADDRESS: STREET 1: PATRA JASA OFFICE TOWER 3A FL STREET 2: JALAN GATOT SUBROTO KAV 32-34 CITY: SOUTH JAKARTA STATE: K8 ZIP: 12950 BUSINESS PHONE: 622152901272 MAIL ADDRESS: STREET 1: PATRA JASA OFFICE TOWER 3A FL STREET 2: JALAN GATOT SUBROTO KAV 32-34 CITY: SOUTH JAKARTA STATE: K8 ZIP: 12950 FORMER NAME: FORMER CONFORMED NAME: PT Pertamina Internasional Eksplorasi dan Produski DATE OF NAME CHANGE: 20170207 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: ETABLISSEMENTS MAUREL & PROM S.A. CENTRAL INDEX KEY: 0001589034 STATE OF INCORPORATION: I0 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 000-24012 FILM NUMBER: 17647343 BUSINESS ADDRESS: STREET 1: 51, RUE D?ANJOU CITY: PARIS STATE: I0 ZIP: 75008 BUSINESS PHONE: 33 1 53 83 16 00 MAIL ADDRESS: STREET 1: 51, RUE D?ANJOU CITY: PARIS STATE: I0 ZIP: 75008 FORMER NAME: FORMER CONFORMED NAME: ?TABLISSEMENTS MAUREL & PROM S.A. DATE OF NAME CHANGE: 20131010 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: MP WEST CANADA S.A.S. CENTRAL INDEX KEY: 0001589035 STATE OF INCORPORATION: I0 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 000-24012 FILM NUMBER: 17647344 BUSINESS ADDRESS: STREET 1: 51, RUE D?ANJOU CITY: PARIS STATE: I0 ZIP: 75008 BUSINESS PHONE: 33 1 53 83 16 00 MAIL ADDRESS: STREET 1: 51, RUE D?ANJOU CITY: PARIS STATE: I0 ZIP: 75008 3 1 edgar.xml PRIMARY DOCUMENT X0206 3 2017-02-01 0 0000869495 DEEP WELL OIL & GAS INC DWOG 0001589035 MP WEST CANADA S.A.S. 51, RUE D'ANJOU PARIS I0 75008 FRANCE 0 0 1 0 0001589034 ETABLISSEMENTS MAUREL & PROM S.A. 51, RUE D'ANJOU PARIS I0 75008 FRANCE 0 0 1 0 0001697354 PT Pertamina Internasional Eksplorasi dan Produksi PATRA JASA OFFICE TOWER 3A FL. JALAN GATOT SUBROTO KAV. 32-34 SOUTH JAKARTA K8 12950 INDONESIA 0 0 1 0 0001697525 PT Pertamina (Persero) JALAN MEDAN MERDEKA TIMUR, NO. 1A JAKARTA K8 10110 INDONESIA 0 0 1 0 Common Stock 45111778 D The shares of the Issuer's common stock reported herein are held directly by MP West Canada S.A.S. ("MP West Canada"). Etablissements Maurel & Prom S.A. ("M&P") is the direct beneficial owner of 100% of the share capital of MP West Canada. PT Pertamina Internasional Eksplorasi dan Produksi ("Pertamina Internasional") is the direct beneficial owner of a majority of the share capital of M&P. PT Pertamina (Persero) is the direct beneficial owner of substantially all of the share capital of Pertamina Internasional. Accordingly, each of PT Pertamina (Persero), Pertamina Internasional and M&P may be deemed to share with MP West Canada the power to (i) vote or direct the vote of and (ii) dispose or direct the disposition of the shares held directly by MP West Canada. MP WEST CANADA S.A.S. By: /s/ Alain Torre Name: Alain Torre Title: President 2017-02-28 ETABLISSEMENTS MAUREL & PROM By: /s/ Michel Hochard Name: Michel Hochard Title: Chief Executive Officer 2017-02-28 PT PERTAMINA INTERNASIONAL EKSPLORASI DAN PRODUKSI By: /s/ Slamet Riadhy Name: : Slamet Riadhy Title: President Director 2017-02-28 PT PERTAMINA (PERSERO) By: /s/ Syamsu Alam Name: Syamsu Alam Title: Upstream Director 2017-02-28