0001513563-15-000006.txt : 20150702 0001513563-15-000006.hdr.sgml : 20150702 20150702155247 ACCESSION NUMBER: 0001513563-15-000006 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20150701 FILED AS OF DATE: 20150702 DATE AS OF CHANGE: 20150702 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: 15969523 MAIL ADDRESS: STREET 1: 3000 SOUTH BUSINESS HIGHWAY 281 CITY: ALICE STATE: TX ZIP: 78332 4 1 wf-form4_143586675651815.xml FORM 4 X0306 4 2015-07-01 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 2015-07-01 4 M 0 10584 A 89782 D Common Stock 450 I By son Restricted Stock Units 2015-07-01 4 M 0 10584 0 D Common Stock 10584.0 31752 D Restricted stock units convert into common stock on a one-for-one basis. 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. 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 Travis H. Burris 2015-07-02