0001513563-15-000004.txt : 20150701 0001513563-15-000004.hdr.sgml : 20150701 20150701131500 ACCESSION NUMBER: 0001513563-15-000004 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20150629 FILED AS OF DATE: 20150701 DATE AS OF CHANGE: 20150701 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: 15964156 MAIL ADDRESS: STREET 1: 3000 SOUTH BUSINESS HIGHWAY 281 CITY: ALICE STATE: TX ZIP: 78332 4 1 wf-form4_143577088946779.xml FORM 4 X0306 4 2015-06-29 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 2015-06-29 4 A 0 21168 0 A 79198 D Common Stock 450 I By son The Reporting Person disclaims beneficial ownership of these securities, and this report shall not be deemed an admission that the reporting person is the beneficial owner of such securities for the purposes of Section 16 or for any other purpose. /s/ L. Melvin Cooper, Power of Attorney for Travis H. Burris 2015-07-01