0001209191-16-151737.txt : 20161122 0001209191-16-151737.hdr.sgml : 20161122 20161122164626 ACCESSION NUMBER: 0001209191-16-151737 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20161118 FILED AS OF DATE: 20161122 DATE AS OF CHANGE: 20161122 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: GULF ISLAND FABRICATION INC CENTRAL INDEX KEY: 0001031623 STANDARD INDUSTRIAL CLASSIFICATION: FABRICATED STRUCTURAL METAL PRODUCTS [3440] IRS NUMBER: 721147390 STATE OF INCORPORATION: LA FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 16225 PARK TEN PLACE, SUITE 280 CITY: HOUSTON STATE: TX ZIP: 77084 BUSINESS PHONE: 7137146100 MAIL ADDRESS: STREET 1: 16225 PARK TEN PLACE, SUITE 280 CITY: HOUSTON STATE: TX ZIP: 77084 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: DUMAS JERRY D SR CENTRAL INDEX KEY: 0001118049 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-34279 FILM NUMBER: 162013723 MAIL ADDRESS: STREET 1: C/O FLOTEK INDUSTRIES, INC. STREET 2: 2930 W. SAM HOUSTON PARKWAY N., STE. 300 CITY: HOUSTON STATE: TX ZIP: 77043 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2016-11-18 0 0001031623 GULF ISLAND FABRICATION INC GIFI 0001118049 DUMAS JERRY D SR 16225 PARK TEN PLACE SUITE 280 HOUSTON TX 77084 1 0 0 0 Common Stock 2016-11-18 4 M 0 6173 A 9228 D Common Stock 2016-11-18 4 D 0 2037 10.50 D 7191 D Restricted Stock Units 2016-11-18 4 M 0 6173 0.00 D 2016-11-18 2016-11-18 Common Stock 6173 0 D Each restricted stock unit is the economic equivalent of one share of the Issuer's common stock. In accordance with the terms of the award, the reporting person elected to settle 33% of his restricted stock units for cash and 77% for shares of the Issuer's common stock. /s/ Jerry D. Dumas, Sr. 2016-11-22