0001109189-21-000021.txt : 20210223
0001109189-21-000021.hdr.sgml : 20210223
20210223211717
ACCESSION NUMBER: 0001109189-21-000021
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210219
FILED AS OF DATE: 20210223
DATE AS OF CHANGE: 20210223
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Taylor Brett J.
CENTRAL INDEX KEY: 0001578174
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-32693
FILM NUMBER: 21668195
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: BASIC ENERGY SERVICES INC
DATE OF NAME CHANGE: 20000523
FORMER COMPANY:
FORMER CONFORMED NAME: SIERRA WELL SERVICE INC
DATE OF NAME CHANGE: 20000313
4
1
wf-form4_161413301714348.xml
FORM 4
X0306
4
2021-02-19
0
0001109189
BASIC ENERGY SERVICES, INC.
BASX
0001578174
Taylor Brett J.
801 CHERRY STREET
SUITE 2100
FORT WORTH
TX
76102
0
1
0
0
See Remarks
Common Stock
2021-02-19
4
M
0
14552
A
72710
D
Common Stock
2021-02-19
4
D
0
14552
0.1625
D
58158
D
Performance- Based Phantom Shares
2021-02-19
4
A
0
29103
0
A
Common Stock
29103.0
29103
D
Performance- Based Phantom Shares
2021-02-19
4
M
0
14552
0
D
Common Stock
14552.0
14551
D
Represents cash-settled performance-based phantom shares (the "Phantom Shares") granted under the Basic Energy Services, Inc. 2019 Long Term Incentive Plan, vesting in one-half increments on February 19, 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. The settlement of the Phantom Shares for cash is reported on this Form 4 as a disposition of the Phantom Shares being settled in exchange for the acquisition of the underlying Company common stock, and a simultaneous disposition of the underlying Company common stock to the Company for cash.
02/19/2021
VP - Quality, Health, Safety & Environment
/s/ Dasha K. Hodge, Attorney-in-Fact
2021-02-23