0001434842-16-000097.txt : 20160706 0001434842-16-000097.hdr.sgml : 20160706 20160706161612 ACCESSION NUMBER: 0001434842-16-000097 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20160701 FILED AS OF DATE: 20160706 DATE AS OF CHANGE: 20160706 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: Burris Travis H. CENTRAL INDEX KEY: 0001513563 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35281 FILM NUMBER: 161753877 MAIL ADDRESS: STREET 1: 3000 SOUTH BUSINESS HIGHWAY 281 CITY: ALICE STATE: TX ZIP: 78332 4 1 wf-form4_146783615937146.xml FORM 4 X0306 4 2016-07-01 0 0001434842 Forbes Energy Services Ltd. FES 0001513563 Burris Travis H. 3000 SOUTH BUSINESS HIGHWAY 281 ALICE TX 78332 1 0 0 0 Common Stock 2016-07-01 4 M 0 29596 0 A 129962 D Common Stock 2016-07-01 4 D 0 29596 0.19 D 100366 D Common Stock 450 I By son Restricted Stock Units 2016-07-01 4 M 0 29596 0 D Common Stock 29596.0 88790 D On July 1, 2016, the reporting person had an award of restricted stock units that vested in accordance with the provisions in a grant made on May 24, 2016. Each restricted stock unit converts into common stock on a one-for-one basis. The restricted stock units were settled in cash valued at $0.19 per share, based on the market closing price on July 1, 2016. No shares were actually, issued, converted, or sold in connection with this transaction. On May 24, 2016, the reporting person was granted 118,386 restricted stock units, vesting quarterly in four equal installments beginning on July 1, 2016. /s/ L. Melvin Cooper, Power of Attorney for Travis H. Burris 2016-07-06