0001434842-17-000045.txt : 20170901 0001434842-17-000045.hdr.sgml : 20170901 20170901165005 ACCESSION NUMBER: 0001434842-17-000045 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170828 FILED AS OF DATE: 20170901 DATE AS OF CHANGE: 20170901 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Macek Steve CENTRAL INDEX KEY: 0001703412 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35281 FILM NUMBER: 171066778 MAIL ADDRESS: STREET 1: 3000 SOUTH BUSINESS HIGHWAY 281 CITY: ALICE STATE: TX ZIP: 78332 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 4 1 wf-form4_150429899137884.xml FORM 4 X0306 4 2017-08-28 0 0001434842 Forbes Energy Services Ltd. FLSS 0001703412 Macek Steve 3000 SOUTH BUSINESS HIGHWAY 281 ALICE TX 78332 0 1 0 0 EVP, COO Common Stock, par value $0.01 2017-08-28 4 M 0 17280 0 A 17280 D Restricted Stock Units 2017-08-28 4 A 0 86400 0 A Common Stock, par value $0.01 86400.0 86400 D Restricted Stock Units 2017-08-28 4 M 0 17280 0 D Common Stock, par value $0.01 17280.0 69120 D Represents all of the restricted stock units that vested in accordance with the provisions in a grant made on August 28, 2017 that the Reporting Person had elected not to defer pursuant to the Reporting Person's settlement deferral election form filed with the Company. Each restricted stock unit represents a contingent right to receive one share of Company common stock, par value $0.01 per share. The restricted stock units vest as follows: twenty percent (20%) vested on August 28, 2017 and the remaining eighty percent (80%) vests in four equal installments on the first, second, third and fourth anniversaries of August 28, 2017. The restricted stock units, once vested, will generally be eligible to receive the applicable number of shares of Company common stock as specified by the Reporting Person in a settlement deferral election form filed with the Company. /s/ L. Melvin Cooper, Power of Attorney for Steve Macek 2017-09-01