0001109189-19-000109.txt : 20190517 0001109189-19-000109.hdr.sgml : 20190517 20190517171034 ACCESSION NUMBER: 0001109189-19-000109 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20190515 FILED AS OF DATE: 20190517 DATE AS OF CHANGE: 20190517 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Dame William Timothy CENTRAL INDEX KEY: 0001543995 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-32693 FILM NUMBER: 19836722 MAIL ADDRESS: STREET 1: 801 CHERRY STREET STREET 2: SUITE 2100 CITY: FORT WORTH STATE: TX ZIP: 76102 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: BASIC ENERGY SERVICES INC CENTRAL INDEX KEY: 0001109189 STANDARD INDUSTRIAL CLASSIFICATION: OIL, GAS FIELD SERVICES, NBC [1389] IRS NUMBER: 542091194 FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 801 CHERRY STREET STREET 2: SUITE 2100 CITY: FORT WORTH STATE: TX ZIP: 76102 BUSINESS PHONE: 817-334-4100 MAIL ADDRESS: STREET 1: 801 CHERRY STREET STREET 2: SUITE 2100 CITY: FORT WORTH STATE: TX ZIP: 76102 FORMER COMPANY: FORMER CONFORMED NAME: SIERRA WELL SERVICE INC DATE OF NAME CHANGE: 20000313 4 1 wf-form4_155812741904609.xml FORM 4 X0306 4 2019-05-15 0 0001109189 BASIC ENERGY SERVICES INC BAS 0001543995 Dame William Timothy 801 CHERRY ST STE 2100 FORT WORTH TX 76102 0 1 0 0 VP - Pumping Services Common Stock 2019-05-15 4 A 0 25692 0 A 64014 D Time-Based Phantom Shares 2019-05-15 4 A 0 25692 0 A Common Stock 25692.0 25692 D Shares of restricted stock granted under the Basic Energy Services, Inc. 2019 Long Term Incentive Plan, (the "LTIP") vesting in one-third increments on May 15, 2020, 2021 and 2022. Cash-settled time-based phantom shares granted under the LTIP, vesting in one-third increments on May 15, 2020, 2021 and 2022. Each cash-settled time-based phantom share is the economic equivalent of one share of Company common stock, subject to a maximum settlement amount of $9.00 per phantom share. /s/ David S. Schorlemer, Attorney-in-Fact 2019-05-17