0001109189-21-000065.txt : 20210519 0001109189-21-000065.hdr.sgml : 20210519 20210519191535 ACCESSION NUMBER: 0001109189-21-000065 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210517 FILED AS OF DATE: 20210519 DATE AS OF CHANGE: 20210519 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: 21941880 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_162146611713964.xml FORM 4 X0306 4 2021-05-17 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 2021-05-17 4 F 0 2363 0.105 D 55795 D Common Stock 2021-05-17 4 M 0 9701 A 65496 D Common Stock 2021-05-17 4 D 0 9701 0.105 D 55795 D Time-Based Phantom Shares 2021-05-17 4 M 0 9701 D Common Stock 9701.0 9701 D In connection with the vesting of restricted stock, the Issuer withheld vested shares of common stock and agreed to satisfy the Reporting Person's tax withholding obligations in lieu of cash. The number of vested shares withheld was based on the Fair Market Value (as defined in the Basic Energy Services, Inc. 2019 Long Term Incentive Plan) of the Issuer's common stock on May 14, 2021. Such shares were acquired as treasury stock by the Issuer. Represents vesting of cash-settled time-based phantom shares (the "Phantom Shares") granted under the Basic Energy Services, Inc. 2019 Long Term Incentive Plan. Each Phantom Share is the economic equivalent of one share of Issuer 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 Issuer common stock, and a simultaneous disposition of the underlying Issuer common stock to the Issuer for cash. 5/17/2021 VP - Quality, Health, Safety & Environment /s/ Dasha K. Hodge, Attorney-in-Fact 2021-05-19