0001679268-22-000002.txt : 20220214 0001679268-22-000002.hdr.sgml : 20220214 20220214160740 ACCESSION NUMBER: 0001679268-22-000002 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20211231 FILED AS OF DATE: 20220214 DATE AS OF CHANGE: 20220214 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: SMITH ARTHUR L CENTRAL INDEX KEY: 0001034323 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37917 FILM NUMBER: 22631668 MAIL ADDRESS: STREET 1: 7308 SHADYVILLA LANE CITY: HOUSTON STATE: TX ZIP: 77055 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: MAMMOTH ENERGY SERVICES, INC. CENTRAL INDEX KEY: 0001679268 STANDARD INDUSTRIAL CLASSIFICATION: OIL, GAS FIELD SERVICES, NBC [1389] IRS NUMBER: 320498321 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 14201 CALIBER DRIVE STREET 2: SUITE 300 CITY: OKLAHOMA CITY STATE: OK ZIP: 73134 BUSINESS PHONE: 405-608-6007 MAIL ADDRESS: STREET 1: 14201 CALIBER DRIVE STREET 2: SUITE 300 CITY: OKLAHOMA CITY STATE: OK ZIP: 73134 FORMER COMPANY: FORMER CONFORMED NAME: Mammoth Energy Services, Inc. DATE OF NAME CHANGE: 20160708 5 1 wf-form5_164487282832801.xml FORM 5 X0306 5 2021-12-31 0 0 0 0001679268 MAMMOTH ENERGY SERVICES, INC. TUSK 0001034323 SMITH ARTHUR L 14201 CALIBER DRIVE SUITE 300 OKLAHOMA CITY OK 73134 1 0 0 0 Common Stock 2021-08-12 5 G 0 12786 0 D 167540 D Common Stock 2021-08-19 5 G 0 29834 0 D 137706 D /s/ Mark Layton as attorney-in-fact for Arthur Smith 2022-02-14