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