0001401257-17-000017.txt : 20170221
0001401257-17-000017.hdr.sgml : 20170221
20170221121508
ACCESSION NUMBER: 0001401257-17-000017
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20170220
FILED AS OF DATE: 20170221
DATE AS OF CHANGE: 20170221
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: FORUM ENERGY TECHNOLOGIES, INC.
CENTRAL INDEX KEY: 0001401257
STANDARD INDUSTRIAL CLASSIFICATION: OIL & GAS FILED MACHINERY & EQUIPMENT [3533]
IRS NUMBER: 611488595
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 920 MEMORIAL CITY WAY
STREET 2: SUITE 1000
CITY: HOUSTON
STATE: TX
ZIP: 77024
BUSINESS PHONE: 713-351-7900
MAIL ADDRESS:
STREET 1: 920 MEMORIAL CITY WAY
STREET 2: SUITE 1000
CITY: HOUSTON
STATE: TX
ZIP: 77024
FORMER COMPANY:
FORMER CONFORMED NAME: FORUM OILFIELD TECHNOLOGIES, INC.
DATE OF NAME CHANGE: 20100726
FORMER COMPANY:
FORMER CONFORMED NAME: FORUM OILFIELD TECHNOLOGIES INC
DATE OF NAME CHANGE: 20070529
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Baldwin David C
CENTRAL INDEX KEY: 0001359478
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35504
FILM NUMBER: 17624260
MAIL ADDRESS:
STREET 1: 11700 OLD KATY ROAD
STREET 2: SUITE 300
CITY: HOUSTON
STATE: TX
ZIP: 77079
4
1
wf-form4_148769729610726.xml
FORM 4
X0306
4
2017-02-20
0
0001401257
FORUM ENERGY TECHNOLOGIES, INC.
FET
0001359478
Baldwin David C
920 MEMORIAL CITY WAY
SUITE 1000
HOUSTON
TX
77024
1
0
0
0
Common Stock
2017-02-20
4
A
0
6219
0
A
40640
D
Common Stock
20532800
I
See footnote
Represents an award of restricted stock under the Forum Energy Technologies, Inc. 2016 Stock and Incentive Plan (the "Plan"). Each share of restricted stock, par value $0.01 per share, is subject to transferability and other restrictions that lapse upon vesting of the restricted stock. The restricted stock award vests in full on the one year anniversary of the date of grant, subject to accelerated vesting of the entire award upon a Change in Control (as defined in the Plan). The restricted stock agreement also includes dividend and voting rights.
SCF-V, L.P., a Delaware limited partnership ("SCF-V"), SCF 2012A, L.P., a Delaware limited partnership ("SCF 2012A"), SCF-VI, L.P., a Delaware limited partnership ("SCF-VI"), SCF 2012B, L.P., a Delaware limited partnership ("SCF 2012B") and SCF-VII, L.P., a Delaware limited partnership ("SCF-VII"), in the aggregate own 20,532,800 shares of common stock. The general partner of SCF-V is SCF-V, G.P., LLC, a Delaware limited liability company ("SCF-V GP"), the general partner of SCF-VI is SCF-VI, G.P., Limited Partnership, a Delaware limited partnership ("SCF-VI GP") and the general partner of SCF-VII is SCF-VII, G.P., Limited Partnership, a Delaware limited partnership ("SCF-VII GP"). (Continued in Footnote 3)
L.E. Simmons & Associates, Inc., a Delaware corporation ("LESA") is the sole general partner of each of SCF-V GP, SCF-VI GP, SCF-VII GP, SCF 2012A and SCF 2012B. Mr. Baldwin serves as Co-President of LESA. As such, Mr. Baldwin may be deemed to have dispositive power over the shares of common stock owned by SCF-V, SCF 2012A, SCF-VI, SCF 2012B and SCF-VII. Mr. Baldwin disclaims beneficial ownership of such shares.
/s/ David Baldwin by John C. Ivascu as Attorney-in- Fact
2017-02-21