(1) On or before January 31, 1954, every person acting as principal or as agent for another who is independently engaged in oil and gas operations in the state shall file under oath with the board on Form No. 1 a statement giving the following information:

(a) the name under which such business is being operated or conducted;

(b) the name and post office address of such person and the business or businesses in which he is engaged;

(c) the plan or organization and, in case of a corporation, the law under which it is chartered; and

(d) the post office addresses of any persons acting as trustees together with the names of the manager, agent, or executive thereof, and the names and post office addresses of any officers thereof.

(2) Immediately after any change occurs as to facts stated in the report filed as required by (1) , a supplementary report under oath shall be filed with the board with respect to such change.