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