0001434842-16-000047.txt : 20160105
0001434842-16-000047.hdr.sgml : 20160105
20160105113651
ACCESSION NUMBER: 0001434842-16-000047
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20160101
FILED AS OF DATE: 20160105
DATE AS OF CHANGE: 20160105
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Forbes Energy Services Ltd.
CENTRAL INDEX KEY: 0001434842
STANDARD INDUSTRIAL CLASSIFICATION: OIL, GAS FIELD SERVICES, NBC [1389]
IRS NUMBER: 000000000
STATE OF INCORPORATION: D0
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 3000 SOUTH BUSINESS HIGHWAY 281
CITY: ALICE
STATE: TX
ZIP: 78332
BUSINESS PHONE: 361-664-0549
MAIL ADDRESS:
STREET 1: 3000 SOUTH BUSINESS HIGHWAY 281
CITY: ALICE
STATE: TX
ZIP: 78332
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Bossert Dale W.
CENTRAL INDEX KEY: 0001513218
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35281
FILM NUMBER: 161320691
MAIL ADDRESS:
STREET 1: 3000 SOUTH BUSINESS HIGHWAY 281
CITY: ALICE
STATE: TX
ZIP: 78332
4
1
wf-form4_145201179918310.xml
FORM 4
X0306
4
2016-01-01
0
0001434842
Forbes Energy Services Ltd.
FES
0001513218
Bossert Dale W.
3000 SOUTH BUSINESS HIGHWAY 281
ALICE
TX
78332
1
0
0
0
Common Stock
2016-01-01
4
M
0
10584
0
A
84913
D
Common Stock
2016-01-01
4
D
0
10584
0.29
D
74329
D
Restricted Stock Units
2016-01-01
4
M
0
10584
0
D
Common Stock
10584.0
10584
D
On January 1, 2016, the reporting person had an award of restricted stock units that vested in accordance with the provisions in a grant made on June 15, 2015. Each restricted stock unit converts into common stock on a one-for-one basis. The restricted stock units were settled in cash valued at $0.29 per share, based on the market closing price on December 31, 2015. No shares were actually, issued, converted, or sold in connection with this transaction.
On June 15, 2015, the reporting person was granted 42,336 resticted stock units, vesting quarterly in four equal installments beginning on July 1, 2015.
/s/ L. Melvin Cooper, Power of Attorney for Dale W. Bossert
2016-01-05