0001513569-16-000019.txt : 20161004
0001513569-16-000019.hdr.sgml : 20161004
20161004152844
ACCESSION NUMBER: 0001513569-16-000019
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20161001
FILED AS OF DATE: 20161004
DATE AS OF CHANGE: 20161004
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: Forbes Charles C.
CENTRAL INDEX KEY: 0001513569
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35281
FILM NUMBER: 161918567
MAIL ADDRESS:
STREET 1: 3000 SOUTH BUSINESS HIGHWAY 281
CITY: ALICE
STATE: TX
ZIP: 78332
4
1
wf-form4_147560931138125.xml
FORM 4
X0306
4
2016-10-01
0
0001434842
Forbes Energy Services Ltd.
FES
0001513569
Forbes Charles C.
3000 SOUTH BUSINESS HIGHWAY 281
ALICE
TX
78332
1
1
1
0
Executive Vice President & COO
Common Stock
2016-10-01
4
M
0
29596
0
A
2788249
D
Common Stock
2016-10-01
4
D
0
29596
0.14
D
2758653
D
Restricted Stock Units
2016-10-01
4
M
0
29596
0
D
Common Stock
29596.0
59194
D
On October 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 $0.14 per share, based on the market closing price on September 30, 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 Charles C. Forbes, Jr.
2016-10-04