FORM 5 |
UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 ANNUAL STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940 |
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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b). | |||||||||||||||||
Form 3 Holdings Reported. | |||||||||||||||||
Form 4 Transactions Reported. |
1. Name and Address of Reporting Person*
(Street)
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2. Issuer Name and Ticker or Trading Symbol
GEOKINETICS INC [ GOK ] |
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
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3. Statement for Issuer's Fiscal Year Ended
(Month/Day/Year) 12/31/2012 | ||||||||||||||||||||||||||
4. If Amendment, Date of Original Filed
(Month/Day/Year) |
6. Individual or Joint/Group Filing (Check Applicable Line)
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Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned | |||||||||||||||
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1. Title of Security (Instr. 3) | 2. Transaction Date (Month/Day/Year) | 2A. Deemed Execution Date, if any (Month/Day/Year) | 3. Transaction Code (Instr. 8) | 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) | 5. Amount of Securities Beneficially Owned at end of Issuer's Fiscal Year (Instr. 3 and 4) | 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) | 7. Nature of Indirect Beneficial Ownership (Instr. 4) | ||||||||
Amount | (A) or (D) | Price |
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) | ||||||||||||||
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1. Title of Derivative Security (Instr. 3) | 2. Conversion or Exercise Price of Derivative Security | 3. Transaction Date (Month/Day/Year) | 3A. Deemed Execution Date, if any (Month/Day/Year) | 4. Transaction Code (Instr. 8) | 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) | 6. Date Exercisable and Expiration Date (Month/Day/Year) | 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) | 8. Price of Derivative Security (Instr. 5) | 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) | 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) | 11. Nature of Indirect Beneficial Ownership (Instr. 4) | |||
(A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | |||||||||
Series B Dividend(1) | $15.95(6) | 03/15/2012 | J(3) | 6,162 | 12/15/2006 | (8) | Common Stock | 96,583 | (3) | 0(4) | I(4) | See Footnote 4, 7(4)(7) | ||
Series B Dividend(2) | $15.95(6) | 03/15/2012 | J(3) | 1,624 | 12/15/2006 | (8) | Common Stock | 25,455 | (3) | 0(5) | I(5) | See Footnote 5, 7(5)(7) | ||
Series B Dividend(1) | $15.95(6) | 06/15/2012 | J(3) | 6,313 | 12/15/2006 | (8) | Common Stock | 98,950 | (3) | 0(4) | I(4) | See Footnote 4, 7(4)(7) | ||
Series B Dividend(2) | $15.95(6) | 06/15/2012 | J(3) | 1,664 | 12/15/2006 | (8) | Common Stock | 26,082 | (3) | 0(5) | I(5) | See Footnote 5, 7(5)(7) | ||
Series B Dividend(1) | $15.95(6) | 09/15/2012 | J(3) | 6,466 | 12/15/2006 | (8) | Common Stock | 101,348 | (3) | 0(4) | I(4) | See Footnote 4, 7(4)(7) | ||
Series B Dividend(2) | $15.95(6) | 09/15/2012 | J(3) | 1,705 | 12/15/2006 | (8) | Common Stock | 26,724 | (3) | 0(5) | I(5) | See Footnote 5, 7(5)(7) | ||
Series B Dividend(1) | $15.95(6) | 12/15/2012 | J(3) | 6,624 | 12/15/2006 | (8) | Common Stock | 103,824 | (3) | 0(4) | I(4) | See Footnote 4, 7(4)(7) | ||
Series B Dividend(2) | $15.95(6) | 12/15/2012 | J(3) | 1,746 | 12/15/2006 | (8) | Common Stock | 27,367(6) | (3) | 0(5) | I(5) | See Footnote 5, 7(5)(7) |
Explanation of Responses: |
1. This line reports the issuance of payment in kind dividends for Series B Senior Convertible Preferred Stock ("Series B Stock") by Geokinetics, Inc. ("Company") to Avista Capital Partners, L.P. ("Avista") and is reported by Avista Capital Partners GP, LLC ("Avista GP") on behalf of Avista in accordance with remarks below |
2. This line reports the issuance of payment in kind dividends for Series B Stock by the Company to Avista Capital Partners (Offshore), L.P. ("Avista Offshore") and is reported by Avista GP on behalf of Avista Offshore in accordance with remarks below. |
3. Pursuant to the Second Amended and Restated Certificate of Designation of Series B Senior Convertible Preferred Stock, filed as Exhibit 1 to the Form 8-K filed by the Company on February 18, 2009, at the option of the Company, dividends payable on shares of Series B Stock on any quarterly dividend payment date through October 31, 2011, may be paid in additional shares of Series B Stock, instead of cash. |
4. As a result of the dividends of Series B Stock reported hereunder, Avista directly owns 278,401 shares of Series B Stock, and any shares of Series B Stock owned directly by Avista may be deemed to be indirectly owned by Avista GP. |
5. As a result of the dividends of Series B Stock reported hereunder, Avista Offshore directly owns 73,405 shares of Series B Stock, and any shares of Series B Stock owned directly by Avista Offshore may be deemed to be indirectly owned by Avista GP. |
6. The conversion price is determined by dividing the liquidation preference amount of $250 for the Series B Stock by the applicable conversion price, which may be adjusted for dilutive issuances, splits, combinations or the like. |
7. The filing of this Statement shall not be deemed as admission that, for purposes of Section 16 of the Securities Exchange Act of 1934 or otherwise, any Reporting Person is the beneficial owner of any securities covered by this Statement. |
8. Not applicable. |
/s/ Ben Silbert, General Counsel | 02/11/2013 | |
** Signature of Reporting Person | Date | |
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | ||
* If the form is filed by more than one reporting person, see Instruction 4 (b)(v). | ||
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). | ||
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure. | ||
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number. |